{
	"reporting_entity_name": "SCRIPPS",
	"reporting_entity_type": "HEALTH PLAN",
	"plan_name": "MC SCRIPPS HEALTH: SCRIPPS HEALTH PLAN",
	"plan_id_type": "HIOS",
	"plan_id": "951684089",
	"plan_market_type": "group",
	"last_updated_on": "2026-04-28",
	"version": "1.6.2",
	"out_of_network":[{
		"name": "PHARMACY-GENERAL",
		"billing_code_type": "RC",
		"billing_code_type_version": "2026",
		"billing_code": "0250",
		"description": "Pharmacy",
		"allowed_amounts":[{
			"tin": {
				"type": "ein",
				"value": "233059262"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 22.00,
				"providers":[{
					"billed_charge": 191.00,
					"npi": [1245221050]
				}]
			},{
				"allowed_amount": 5.00,
				"providers":[{
					"billed_charge": 44.00,
					"npi": [1245221050]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "330294751"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 11.00,
				"providers":[{
					"billed_charge": 27.00,
					"npi": [1073553756]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "330449527"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 54.41,
				"providers":[{
					"billed_charge": 64.01,
					"npi": [1528041811]
				}]
			},{
				"allowed_amount": 55.44,
				"providers":[{
					"billed_charge": 65.22,
					"npi": [1528041811]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "330599494"
			},
			"service_code": ["21", "22", "23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 33.35,
				"providers":[{
					"billed_charge": 55.58,
					"npi": [1184722779]
				}]
			},{
				"allowed_amount": 240.93,
				"providers":[{
					"billed_charge": 283.45,
					"npi": [1184722779]
				}]
			},{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 1174.83,
					"npi": [1184722779]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "461246570"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 0.59,
				"providers":[{
					"billed_charge": 4.00,
					"npi": [1679816201]
				}]
			},{
				"allowed_amount": 2.00,
				"providers":[{
					"billed_charge": 23.00,
					"npi": [1679816201]
				}]
			},{
				"allowed_amount": 4.00,
				"providers":[{
					"billed_charge": 34.00,
					"npi": [1679816201]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "463621746"
			},
			"service_code": ["65"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 55.55,
					"npi": [1467889360]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "463848066"
			},
			"service_code": ["61"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 1268.13,
					"npi": [1831702398]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "721561119"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 2.00,
				"providers":[{
					"billed_charge": 2.00,
					"npi": [1427181007]
				}]
			},{
				"allowed_amount": 4.00,
				"providers":[{
					"billed_charge": 4.00,
					"npi": [1427181007]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "721561134"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 5.00,
				"providers":[{
					"billed_charge": 5.00,
					"npi": [1265065445]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "841343242"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 6.00,
				"providers":[{
					"billed_charge": 6.00,
					"npi": [1467762435]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "943167314"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 7.31,
				"providers":[{
					"billed_charge": 7.31,
					"npi": [1093712374]
				}]
			},{
				"allowed_amount": 9.67,
				"providers":[{
					"billed_charge": 9.67,
					"npi": [1093712374]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "951684089"
			},
			"service_code": ["22"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 3.37,
				"providers":[{
					"billed_charge": 24.08,
					"npi": [1841233780]
				}]
			},{
				"allowed_amount": 5.41,
				"providers":[{
					"billed_charge": 38.64,
					"npi": [1841233780]
				}]
			},{
				"allowed_amount": 7.06,
				"providers":[{
					"billed_charge": 50.40,
					"npi": [1841233780]
				}]
			},{
				"allowed_amount": 8.32,
				"providers":[{
					"billed_charge": 59.44,
					"npi": [1841233780]
				}]
			},{
				"allowed_amount": 12.45,
				"providers":[{
					"billed_charge": 88.92,
					"npi": [1841233780]
				}]
			},{
				"allowed_amount": 116.34,
				"providers":[{
					"billed_charge": 831.00,
					"npi": [1841233780]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "951684089"
			},
			"service_code": ["22"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 116.34,
				"providers":[{
					"billed_charge": 831.00,
					"npi": [1700829199]
				}]
			},{
				"allowed_amount": 145.42,
				"providers":[{
					"billed_charge": 1038.72,
					"npi": [1700829199]
				}]
			},{
				"allowed_amount": 113.40,
				"providers":[{
					"billed_charge": 756.02,
					"npi": [1700829199]
				}]
			},{
				"allowed_amount": 63.50,
				"providers":[{
					"billed_charge": 453.60,
					"npi": [1700829199]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "951684089"
			},
			"service_code": ["22"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 3.37,
				"providers":[{
					"billed_charge": 24.08,
					"npi": [1841277704]
				}]
			},{
				"allowed_amount": 5.46,
				"providers":[{
					"billed_charge": 39.00,
					"npi": [1841277704]
				}]
			},{
				"allowed_amount": 6.15,
				"providers":[{
					"billed_charge": 40.97,
					"npi": [1841277704]
				}]
			},{
				"allowed_amount": 12.45,
				"providers":[{
					"billed_charge": 88.92,
					"npi": [1841277704]
				}]
			},{
				"allowed_amount": 31.75,
				"providers":[{
					"billed_charge": 226.80,
					"npi": [1841277704]
				}]
			},{
				"allowed_amount": 63.93,
				"providers":[{
					"billed_charge": 456.66,
					"npi": [1841277704]
				}]
			},{
				"allowed_amount": 4.50,
				"providers":[{
					"billed_charge": 30.00,
					"npi": [1841277704]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "951684089"
			},
			"service_code": ["22"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 6.14,
				"providers":[{
					"billed_charge": 43.83,
					"npi": [1659359446]
				}]
			},{
				"allowed_amount": 13.34,
				"providers":[{
					"billed_charge": 88.92,
					"npi": [1659359446]
				}]
			},{
				"allowed_amount": 31.47,
				"providers":[{
					"billed_charge": 224.78,
					"npi": [1659359446]
				}]
			},{
				"allowed_amount": 31.75,
				"providers":[{
					"billed_charge": 226.80,
					"npi": [1659359446]
				}]
			},{
				"allowed_amount": 34.02,
				"providers":[{
					"billed_charge": 226.80,
					"npi": [1659359446]
				}]
			},{
				"allowed_amount": 213.11,
				"providers":[{
					"billed_charge": 1522.20,
					"npi": [1659359446]
				}]
			},{
				"allowed_amount": 228.33,
				"providers":[{
					"billed_charge": 1522.20,
					"npi": [1659359446]
				}]
			},{
				"allowed_amount": 2.80,
				"providers":[{
					"billed_charge": 20.00,
					"npi": [1659359446]
				}]
			},{
				"allowed_amount": 5.60,
				"providers":[{
					"billed_charge": 40.00,
					"npi": [1659359446]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "951691313"
			},
			"service_code": ["22"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 5.13,
				"providers":[{
					"billed_charge": 8.30,
					"npi": [1710065933]
				}]
			},{
				"allowed_amount": 16.39,
				"providers":[{
					"billed_charge": 26.55,
					"npi": [1710065933]
				}]
			},{
				"allowed_amount": 58.05,
				"providers":[{
					"billed_charge": 94.00,
					"npi": [1710065933]
				}]
			},{
				"allowed_amount": 90.65,
				"providers":[{
					"billed_charge": 146.80,
					"npi": [1710065933]
				}]
			},{
				"allowed_amount": 163.61,
				"providers":[{
					"billed_charge": 264.96,
					"npi": [1710065933]
				}]
			},{
				"allowed_amount": 809.84,
				"providers":[{
					"billed_charge": 1311.48,
					"npi": [1710065933]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "951802779"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 4.00,
				"providers":[{
					"billed_charge": 4.00,
					"npi": [1467538520]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "956003843"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 5.59,
					"npi": [1457321317]
				},{
					"billed_charge": 14.90,
					"npi": [1376513754]
				},{
					"billed_charge": 173.60,
					"npi": [1457321317]
				},{
					"billed_charge": 190.60,
					"npi": [1376513754]
				},{
					"billed_charge": 207.80,
					"npi": [1457321317]
				},{
					"billed_charge": 25.10,
					"npi": [1457321317]
				},{
					"billed_charge": 26.70,
					"npi": [1376513754]
				},{
					"billed_charge": 29.40,
					"npi": [1376513754]
				},{
					"billed_charge": 3.00,
					"npi": [1457321317]
				},{
					"billed_charge": 34.00,
					"npi": [1457321317]
				},{
					"billed_charge": 9.90,
					"npi": [1457321317]
				}]
			}]
		}]
	},{
		"name": "PHARMACY-OTHER PHARMACY",
		"billing_code_type": "RC",
		"billing_code_type_version": "2026",
		"billing_code": "0259",
		"description": "Pharmacy",
		"allowed_amounts":[{
			"tin": {
				"type": "ein",
				"value": "951684089"
			},
			"service_code": ["22"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 1.11,
				"providers":[{
					"billed_charge": 7.94,
					"npi": [1841233780]
				}]
			},{
				"allowed_amount": 1.35,
				"providers":[{
					"billed_charge": 9.65,
					"npi": [1841233780]
				}]
			},{
				"allowed_amount": 1.82,
				"providers":[{
					"billed_charge": 13.03,
					"npi": [1841233780]
				}]
			},{
				"allowed_amount": 1.96,
				"providers":[{
					"billed_charge": 13.98,
					"npi": [1841233780]
				}]
			},{
				"allowed_amount": 1.98,
				"providers":[{
					"billed_charge": 14.16,
					"npi": [1841233780]
				}]
			},{
				"allowed_amount": 2.17,
				"providers":[{
					"billed_charge": 15.53,
					"npi": [1841233780]
				}]
			},{
				"allowed_amount": 2.22,
				"providers":[{
					"billed_charge": 15.88,
					"npi": [1841233780]
				}]
			},{
				"allowed_amount": 2.87,
				"providers":[{
					"billed_charge": 20.53,
					"npi": [1841233780]
				}]
			},{
				"allowed_amount": 3.39,
				"providers":[{
					"billed_charge": 24.24,
					"npi": [1841233780]
				}]
			},{
				"allowed_amount": 3.91,
				"providers":[{
					"billed_charge": 27.96,
					"npi": [1841233780]
				}]
			},{
				"allowed_amount": 4.45,
				"providers":[{
					"billed_charge": 31.76,
					"npi": [1841233780]
				}]
			},{
				"allowed_amount": 4.55,
				"providers":[{
					"billed_charge": 32.49,
					"npi": [1841233780]
				}]
			},{
				"allowed_amount": 5.47,
				"providers":[{
					"billed_charge": 39.09,
					"npi": [1841233780]
				}]
			},{
				"allowed_amount": 8.62,
				"providers":[{
					"billed_charge": 61.59,
					"npi": [1841233780]
				}]
			},{
				"allowed_amount": 9.98,
				"providers":[{
					"billed_charge": 71.28,
					"npi": [1841233780]
				}]
			},{
				"allowed_amount": 22.15,
				"providers":[{
					"billed_charge": 158.24,
					"npi": [1841233780]
				}]
			},{
				"allowed_amount": 26.55,
				"providers":[{
					"billed_charge": 189.64,
					"npi": [1841233780]
				}]
			},{
				"allowed_amount": 0.42,
				"providers":[{
					"billed_charge": 3.00,
					"npi": [1841233780]
				}]
			},{
				"allowed_amount": 0.53,
				"providers":[{
					"billed_charge": 3.80,
					"npi": [1841233780]
				}]
			},{
				"allowed_amount": 0.87,
				"providers":[{
					"billed_charge": 6.22,
					"npi": [1841233780]
				}]
			},{
				"allowed_amount": 0.88,
				"providers":[{
					"billed_charge": 6.27,
					"npi": [1841233780]
				}]
			},{
				"allowed_amount": 1.30,
				"providers":[{
					"billed_charge": 9.32,
					"npi": [1841233780]
				}]
			},{
				"allowed_amount": 2.00,
				"providers":[{
					"billed_charge": 14.32,
					"npi": [1841233780]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "951684089"
			},
			"service_code": ["22"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 1.74,
				"providers":[{
					"billed_charge": 12.42,
					"npi": [1700829199]
				}]
			},{
				"allowed_amount": 2.61,
				"providers":[{
					"billed_charge": 18.63,
					"npi": [1700829199]
				}]
			},{
				"allowed_amount": 4.86,
				"providers":[{
					"billed_charge": 34.73,
					"npi": [1700829199]
				}]
			},{
				"allowed_amount": 9.98,
				"providers":[{
					"billed_charge": 71.30,
					"npi": [1700829199]
				}]
			},{
				"allowed_amount": 24.79,
				"providers":[{
					"billed_charge": 177.10,
					"npi": [1700829199]
				}]
			},{
				"allowed_amount": 0.63,
				"providers":[{
					"billed_charge": 4.51,
					"npi": [1700829199]
				}]
			},{
				"allowed_amount": 0.84,
				"providers":[{
					"billed_charge": 6.00,
					"npi": [1700829199]
				}]
			},{
				"allowed_amount": 0.93,
				"providers":[{
					"billed_charge": 6.22,
					"npi": [1700829199]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "951684089"
			},
			"service_code": ["22"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 2.17,
				"providers":[{
					"billed_charge": 15.53,
					"npi": [1841277704]
				}]
			},{
				"allowed_amount": 26.55,
				"providers":[{
					"billed_charge": 189.64,
					"npi": [1841277704]
				}]
			},{
				"allowed_amount": 0.44,
				"providers":[{
					"billed_charge": 3.11,
					"npi": [1841277704]
				}]
			},{
				"allowed_amount": 0.56,
				"providers":[{
					"billed_charge": 3.97,
					"npi": [1841277704]
				}]
			},{
				"allowed_amount": 0.84,
				"providers":[{
					"billed_charge": 6.00,
					"npi": [1841277704]
				}]
			},{
				"allowed_amount": 0.87,
				"providers":[{
					"billed_charge": 6.21,
					"npi": [1841277704]
				}]
			},{
				"allowed_amount": 0.88,
				"providers":[{
					"billed_charge": 6.27,
					"npi": [1841277704]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "951684089"
			},
			"service_code": ["22", "23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 1.16,
				"providers":[{
					"billed_charge": 8.28,
					"npi": [1659359446]
				}]
			},{
				"allowed_amount": 1.26,
				"providers":[{
					"billed_charge": 9.02,
					"npi": [1659359446]
				}]
			},{
				"allowed_amount": 2.01,
				"providers":[{
					"billed_charge": 14.38,
					"npi": [1659359446]
				}]
			},{
				"allowed_amount": 7.46,
				"providers":[{
					"billed_charge": 53.28,
					"npi": [1659359446]
				}]
			},{
				"allowed_amount": 7.53,
				"providers":[{
					"billed_charge": 53.82,
					"npi": [1659359446]
				}]
			},{
				"allowed_amount": 26.55,
				"providers":[{
					"billed_charge": 189.64,
					"npi": [1659359446]
				}]
			},{
				"allowed_amount": 0.47,
				"providers":[{
					"billed_charge": 3.11,
					"npi": [1659359446]
				}]
			},{
				"allowed_amount": 0.64,
				"providers":[{
					"billed_charge": 4.55,
					"npi": [1659359446]
				}]
			},{
				"allowed_amount": 0.84,
				"providers":[{
					"billed_charge": 6.00,
					"npi": [1659359446]
				}]
			},{
				"allowed_amount": 0.87,
				"providers":[{
					"billed_charge": 6.18,
					"npi": [1659359446]
				}]
			},{
				"allowed_amount": 4.20,
				"providers":[{
					"billed_charge": 30.00,
					"npi": [1659359446]
				}]
			}]
		}]
	},{
		"name": "MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL",
		"billing_code_type": "RC",
		"billing_code_type_version": "2026",
		"billing_code": "0270",
		"description": "Supplies",
		"allowed_amounts":[{
			"tin": {
				"type": "ein",
				"value": "233059262"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 111.00,
				"providers":[{
					"billed_charge": 678.00,
					"npi": [1245221050]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "330294751"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 20.88,
				"providers":[{
					"billed_charge": 87.00,
					"npi": [1073553756]
				}]
			},{
				"allowed_amount": 61.75,
				"providers":[{
					"billed_charge": 61.75,
					"npi": [1073553756]
				}]
			},{
				"allowed_amount": 134.16,
				"providers":[{
					"billed_charge": 559.00,
					"npi": [1073553756]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "330599494"
			},
			"service_code": ["21", "22", "23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 63.75,
				"providers":[{
					"billed_charge": 75.00,
					"npi": [1184722779]
				}]
			},{
				"allowed_amount": 855.47,
				"providers":[{
					"billed_charge": 1425.79,
					"npi": [1184722779]
				}]
			},{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 53.00,
					"npi": [1184722779]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "951684089"
			},
			"service_code": ["22"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 49.36,
				"providers":[{
					"billed_charge": 352.58,
					"npi": [1841233780]
				}]
			},{
				"allowed_amount": 50.96,
				"providers":[{
					"billed_charge": 364.00,
					"npi": [1841233780]
				}]
			},{
				"allowed_amount": 186.76,
				"providers":[{
					"billed_charge": 1334.00,
					"npi": [1841233780]
				}]
			},{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 0.01,
					"npi": [1841233780]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "951684089"
			},
			"service_code": ["22"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 25.48,
				"providers":[{
					"billed_charge": 182.00,
					"npi": [1700829199]
				}]
			},{
				"allowed_amount": 155.70,
				"providers":[{
					"billed_charge": 1112.13,
					"npi": [1700829199]
				}]
			},{
				"allowed_amount": 58.20,
				"providers":[{
					"billed_charge": 388.00,
					"npi": [1700829199]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "951684089"
			},
			"service_code": ["22"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 30.47,
				"providers":[{
					"billed_charge": 217.62,
					"npi": [1841277704]
				}]
			},{
				"allowed_amount": 76.16,
				"providers":[{
					"billed_charge": 544.01,
					"npi": [1841277704]
				}]
			},{
				"allowed_amount": 118.40,
				"providers":[{
					"billed_charge": 789.35,
					"npi": [1841277704]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "951684089"
			},
			"service_code": ["22"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 54.32,
				"providers":[{
					"billed_charge": 388.00,
					"npi": [1659359446]
				}]
			},{
				"allowed_amount": 81.45,
				"providers":[{
					"billed_charge": 581.75,
					"npi": [1659359446]
				}]
			},{
				"allowed_amount": 183.60,
				"providers":[{
					"billed_charge": 1224.00,
					"npi": [1659359446]
				}]
			},{
				"allowed_amount": 58.20,
				"providers":[{
					"billed_charge": 388.00,
					"npi": [1659359446]
				}]
			}]
		}]
	},{
		"name": "MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERILE SUPPLY",
		"billing_code_type": "RC",
		"billing_code_type_version": "2026",
		"billing_code": "0272",
		"description": "Supplies",
		"allowed_amounts":[{
			"tin": {
				"type": "ein",
				"value": "900454894"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 131.00,
				"providers":[{
					"billed_charge": 1229.00,
					"npi": [1891938122]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "941105628"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 4522.00,
				"providers":[{
					"billed_charge": 4760.00,
					"npi": [1851417547]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "951684089"
			},
			"service_code": ["22"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 28.98,
				"providers":[{
					"billed_charge": 207.00,
					"npi": [1841233780]
				}]
			},{
				"allowed_amount": 57.96,
				"providers":[{
					"billed_charge": 414.00,
					"npi": [1841233780]
				}]
			},{
				"allowed_amount": 153.11,
				"providers":[{
					"billed_charge": 1093.64,
					"npi": [1841233780]
				}]
			},{
				"allowed_amount": 188.37,
				"providers":[{
					"billed_charge": 1345.50,
					"npi": [1841233780]
				}]
			},{
				"allowed_amount": 352.86,
				"providers":[{
					"billed_charge": 2520.45,
					"npi": [1841233780]
				}]
			},{
				"allowed_amount": 1034.26,
				"providers":[{
					"billed_charge": 7387.58,
					"npi": [1841233780]
				}]
			},{
				"allowed_amount": 1096.97,
				"providers":[{
					"billed_charge": 7835.52,
					"npi": [1841233780]
				}]
			},{
				"allowed_amount": 2.80,
				"providers":[{
					"billed_charge": 20.00,
					"npi": [1841233780]
				}]
			},{
				"allowed_amount": 818.00,
				"providers":[{
					"billed_charge": 5842.83,
					"npi": [1841233780]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "951684089"
			},
			"service_code": ["22"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 3.22,
				"providers":[{
					"billed_charge": 23.00,
					"npi": [1700829199]
				}]
			},{
				"allowed_amount": 692.15,
				"providers":[{
					"billed_charge": 4943.96,
					"npi": [1700829199]
				}]
			},{
				"allowed_amount": 1510.52,
				"providers":[{
					"billed_charge": 10070.15,
					"npi": [1700829199]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "951684089"
			},
			"service_code": ["22"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 4.83,
				"providers":[{
					"billed_charge": 34.50,
					"npi": [1841277704]
				}]
			},{
				"allowed_amount": 33.71,
				"providers":[{
					"billed_charge": 224.75,
					"npi": [1841277704]
				}]
			},{
				"allowed_amount": 2043.95,
				"providers":[{
					"billed_charge": 14599.66,
					"npi": [1841277704]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "951684089"
			},
			"service_code": ["22"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 3.45,
				"providers":[{
					"billed_charge": 23.00,
					"npi": [1659359446]
				}]
			},{
				"allowed_amount": 5.29,
				"providers":[{
					"billed_charge": 37.80,
					"npi": [1659359446]
				}]
			},{
				"allowed_amount": 352.34,
				"providers":[{
					"billed_charge": 2516.71,
					"npi": [1659359446]
				}]
			},{
				"allowed_amount": 589.72,
				"providers":[{
					"billed_charge": 3931.49,
					"npi": [1659359446]
				}]
			},{
				"allowed_amount": 707.85,
				"providers":[{
					"billed_charge": 4719.00,
					"npi": [1659359446]
				}]
			},{
				"allowed_amount": 3266.38,
				"providers":[{
					"billed_charge": 23331.29,
					"npi": [1659359446]
				}]
			},{
				"allowed_amount": 3.00,
				"providers":[{
					"billed_charge": 20.00,
					"npi": [1659359446]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "951691313"
			},
			"service_code": ["22"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 867.67,
				"providers":[{
					"billed_charge": 1405.14,
					"npi": [1710065933]
				}]
			}]
		}]
	},{
		"name": "RECOVERY ROOM-GENERAL",
		"billing_code_type": "RC",
		"billing_code_type_version": "2026",
		"billing_code": "0710",
		"description": "Room & Board",
		"allowed_amounts":[{
			"tin": {
				"type": "ein",
				"value": "330294751"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 18.75,
				"providers":[{
					"billed_charge": 78.12,
					"npi": [1073553756]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "330599494"
			},
			"service_code": ["22"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 3024.00,
				"providers":[{
					"billed_charge": 5040.00,
					"npi": [1184722779]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "941105628"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 3382.93,
				"providers":[{
					"billed_charge": 3561.00,
					"npi": [1851417547]
				}]
			},{
				"allowed_amount": 1425.00,
				"providers":[{
					"billed_charge": 4169.00,
					"npi": [1558080861]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "951684089"
			},
			"service_code": ["22"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 154.35,
				"providers":[{
					"billed_charge": 1102.50,
					"npi": [1841233780]
				}]
			},{
				"allowed_amount": 244.49,
				"providers":[{
					"billed_charge": 1746.36,
					"npi": [1841233780]
				}]
			},{
				"allowed_amount": 325.99,
				"providers":[{
					"billed_charge": 2328.48,
					"npi": [1841233780]
				}]
			},{
				"allowed_amount": 492.07,
				"providers":[{
					"billed_charge": 3514.77,
					"npi": [1841233780]
				}]
			},{
				"allowed_amount": 538.86,
				"providers":[{
					"billed_charge": 3849.00,
					"npi": [1841233780]
				}]
			},{
				"allowed_amount": 579.98,
				"providers":[{
					"billed_charge": 4142.71,
					"npi": [1841233780]
				}]
			},{
				"allowed_amount": 308.70,
				"providers":[{
					"billed_charge": 2205.00,
					"npi": [1841233780]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "951684089"
			},
			"service_code": ["22"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 231.53,
				"providers":[{
					"billed_charge": 1543.50,
					"npi": [1700829199]
				}]
			},{
				"allowed_amount": 240.29,
				"providers":[{
					"billed_charge": 1716.36,
					"npi": [1700829199]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "951684089"
			},
			"service_code": ["22"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 66.15,
				"providers":[{
					"billed_charge": 441.00,
					"npi": [1841277704]
				}]
			},{
				"allowed_amount": 264.60,
				"providers":[{
					"billed_charge": 1764.00,
					"npi": [1841277704]
				}]
			},{
				"allowed_amount": 755.80,
				"providers":[{
					"billed_charge": 5398.59,
					"npi": [1841277704]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "951684089"
			},
			"service_code": ["22"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 66.15,
				"providers":[{
					"billed_charge": 441.00,
					"npi": [1659359446]
				}]
			},{
				"allowed_amount": 231.53,
				"providers":[{
					"billed_charge": 1543.50,
					"npi": [1659359446]
				}]
			},{
				"allowed_amount": 277.83,
				"providers":[{
					"billed_charge": 1984.50,
					"npi": [1659359446]
				}]
			},{
				"allowed_amount": 183.00,
				"providers":[{
					"billed_charge": 1307.12,
					"npi": [1659359446]
				}]
			},{
				"allowed_amount": 244.20,
				"providers":[{
					"billed_charge": 1628.03,
					"npi": [1659359446]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "951691313"
			},
			"service_code": ["22"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 2481.12,
				"providers":[{
					"billed_charge": 4018.00,
					"npi": [1710065933]
				}]
			}]
		}]
	},{
		"name": "PR INJ, PROPOFOL, 10 MG",
		"billing_code_type": "HCPCS",
		"billing_code_type_version": "2026",
		"billing_code": "J2704",
		"description": "Inj, propofol, 10 mg",
		"allowed_amounts":[{
			"tin": {
				"type": "ein",
				"value": "330294751"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 0.09,
				"billing_code_modifier": ["JW"],
				"providers":[{
					"billed_charge": 84.00,
					"npi": [1073553756]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "330599494"
			},
			"service_code": ["22"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 4.82,
				"providers":[{
					"billed_charge": 8.03,
					"npi": [1184722779]
				}]
			},{
				"allowed_amount": 16.52,
				"providers":[{
					"billed_charge": 27.54,
					"npi": [1184722779]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "951684089"
			},
			"service_code": ["22"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 6.05,
				"providers":[{
					"billed_charge": 43.20,
					"npi": [1841233780]
				}]
			},{
				"allowed_amount": 15.12,
				"providers":[{
					"billed_charge": 108.00,
					"npi": [1841233780]
				}]
			},{
				"allowed_amount": 12.10,
				"providers":[{
					"billed_charge": 86.40,
					"npi": [1841233780]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "951684089"
			},
			"service_code": ["22"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 6.05,
				"providers":[{
					"billed_charge": 43.20,
					"npi": [1700829199]
				}]
			},{
				"allowed_amount": 24.19,
				"providers":[{
					"billed_charge": 172.80,
					"npi": [1700829199]
				}]
			},{
				"allowed_amount": 32.40,
				"providers":[{
					"billed_charge": 216.01,
					"npi": [1700829199]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "951684089"
			},
			"service_code": ["22"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 12.10,
				"providers":[{
					"billed_charge": 86.41,
					"npi": [1841277704]
				}]
			},{
				"allowed_amount": 32.40,
				"providers":[{
					"billed_charge": 216.00,
					"npi": [1841277704]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "951684089"
			},
			"service_code": ["22"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 6.05,
				"providers":[{
					"billed_charge": 43.20,
					"npi": [1659359446]
				}]
			},{
				"allowed_amount": 6.48,
				"providers":[{
					"billed_charge": 43.20,
					"npi": [1659359446]
				}]
			},{
				"allowed_amount": 12.96,
				"providers":[{
					"billed_charge": 86.41,
					"npi": [1659359446]
				},{
					"billed_charge": 86.40,
					"npi": [1659359446]
				}]
			},{
				"allowed_amount": 18.14,
				"providers":[{
					"billed_charge": 129.60,
					"npi": [1659359446]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "951691313"
			},
			"service_code": ["22"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 58.05,
				"providers":[{
					"billed_charge": 94.00,
					"npi": [1710065933]
				}]
			}]
		}]
	},{
		"name": "PR MEDICAL SERVICES 10PM-8AM, 24 HR FAC",
		"billing_code_type": "CPT",
		"billing_code_type_version": "2026",
		"billing_code": "99053",
		"description": "Medical Services 10pm-8am, 24 Hr Fac",
		"allowed_amounts":[{
			"tin": {
				"type": "ein",
				"value": "201064117"
			},
			"service_code": ["23"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 74.00,
					"npi": [1033372453,1144433731,1174865349,1326076290,1326138892,1356091383,1538780127,1669403911,1669714523,1710916283,1801425244,1831696194,1932100062,1962430231,1962439505]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "462690851"
			},
			"service_code": ["23"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 70.00,
					"npi": [1073581914,1114196862,1164614012,1174835359,1184244014,1265460893,1306932330,1316039977,1326276072,1609829142,1700870912,1942230297,1952668931]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "463490058"
			},
			"service_code": ["23"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 82.62,
					"npi": [1053379677]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "464467849"
			},
			"service_code": ["23"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 76.00,
					"npi": [1649692716,1891012019]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "811641281"
			},
			"service_code": ["23"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 65.00,
					"npi": [1134538929,1326087925]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "871023018"
			},
			"service_code": ["23"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 262.00,
					"npi": [1457928111,1578615936,1811330145]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "871451688"
			},
			"service_code": ["21", "23"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 93.61,
					"npi": [1124698139,1750902540,1922216795]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "921786783"
			},
			"service_code": ["23"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 81.00,
					"npi": [1114626017]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "921846432"
			},
			"service_code": ["23"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 78.00,
					"npi": [1881893519]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "942494000"
			},
			"service_code": ["23"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 58.00,
					"npi": [1073554002,1124204383,1316470933]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "952639291"
			},
			"service_code": ["23"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"billing_code_modifier": ["Q6"],
				"providers":[{
					"billed_charge": 115.00,
					"npi": [1740232776]
				}]
			},{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 115.00,
					"npi": [1316437213]
				}]
			}]
		}]
	},{
		"name": "PR CHG 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": "233059262"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 12.75,
				"providers":[{
					"billed_charge": 37.00,
					"npi": [1245221050]
				},{
					"billed_charge": 41.00,
					"npi": [1245221050]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "237064656"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 17.00,
					"npi": [1285654889]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "237064656"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 17.00,
					"npi": [1083636294]
				}]
			},{
				"allowed_amount": 10.00,
				"providers":[{
					"billed_charge": 17.00,
					"npi": [1083636294]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "272973102"
			},
			"service_code": ["20"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 12.60,
				"providers":[{
					"billed_charge": 21.00,
					"npi": [1013557925,1922711209]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "273267315"
			},
			"service_code": ["81"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 26.25,
					"npi": [1689975021]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "274590874"
			},
			"service_code": ["20"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 4.15,
				"providers":[{
					"billed_charge": 28.00,
					"npi": [1689963845]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "330294751"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 9.34,
				"providers":[{
					"billed_charge": 35.00,
					"npi": [1073553756]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "330735143"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 11.82,
				"providers":[{
					"billed_charge": 12.00,
					"npi": [1275066334]
				}]
			},{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 12.00,
					"npi": [1447513908]
				}]
			},{
				"allowed_amount": 12.00,
				"providers":[{
					"billed_charge": 12.00,
					"npi": [1275066334]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "416011702"
			},
			"service_code": ["81"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 33.00,
				"providers":[{
					"billed_charge": 33.00,
					"npi": [1083249577]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "461246570"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 12.75,
				"providers":[{
					"billed_charge": 57.00,
					"npi": [1679816201]
				},{
					"billed_charge": 63.00,
					"npi": [1679816201]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "464742014"
			},
			"service_code": ["20"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 21.00,
					"npi": [1013557925]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "710897031"
			},
			"service_code": ["81"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 9.09,
				"providers":[{
					"billed_charge": 36.40,
					"npi": [1023054863,1780620526]
				}]
			},{
				"allowed_amount": 9.34,
				"providers":[{
					"billed_charge": 38.22,
					"npi": [1023054863]
				}]
			},{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 38.22,
					"npi": [1366479099]
				},{
					"billed_charge": 36.40,
					"npi": [1366479099]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "721561119"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 52.00,
				"providers":[{
					"billed_charge": 52.00,
					"npi": [1427181007]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "721561134"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 67.00,
				"billing_code_modifier": ["ER"],
				"providers":[{
					"billed_charge": 67.00,
					"npi": [1265065445]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "840611484"
			},
			"service_code": ["81"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 9.09,
				"providers":[{
					"billed_charge": 26.25,
					"npi": [1659352276]
				},{
					"billed_charge": 10.00,
					"npi": [1659352276,1740262880]
				}]
			},{
				"allowed_amount": 9.34,
				"providers":[{
					"billed_charge": 26.25,
					"npi": [1659352276]
				}]
			},{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 9.15,
					"npi": [1659352276]
				},{
					"billed_charge": 26.25,
					"npi": [1659352276]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "843172409"
			},
			"service_code": ["81"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 5.00,
					"npi": [1003437500]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "870737749"
			},
			"service_code": ["20", "81"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 7.27,
				"providers":[{
					"billed_charge": 14.57,
					"npi": [1720279805]
				}]
			},{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 14.57,
					"npi": [1427034990,1497080808,1578549044,1629085154,1639170475,1720279805,1861018574]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "876000525"
			},
			"service_code": ["22"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 29.30,
					"npi": [1588656870]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "940760193"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 14.74,
				"providers":[{
					"billed_charge": 40.00,
					"npi": [1932197258]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "942761692"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 13.19,
				"providers":[{
					"billed_charge": 54.00,
					"npi": [1356389878]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "951684089"
			},
			"service_code": ["22"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 2.82,
				"providers":[{
					"billed_charge": 20.16,
					"npi": [1841233780]
				}]
			},{
				"allowed_amount": 5.64,
				"providers":[{
					"billed_charge": 40.32,
					"npi": [1841233780]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "951684089"
			},
			"service_code": ["22"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 2.82,
				"providers":[{
					"billed_charge": 20.16,
					"npi": [1700829199]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "951684089"
			},
			"service_code": ["22", "23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 2.82,
				"providers":[{
					"billed_charge": 20.16,
					"npi": [1841277704]
				}]
			},{
				"allowed_amount": 3.02,
				"providers":[{
					"billed_charge": 20.16,
					"npi": [1841277704]
				}]
			},{
				"allowed_amount": 5.64,
				"providers":[{
					"billed_charge": 40.32,
					"npi": [1841277704]
				}]
			},{
				"allowed_amount": 10.08,
				"providers":[{
					"billed_charge": 20.16,
					"npi": [1841277704]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "951684089"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 20.16,
				"providers":[{
					"billed_charge": 40.32,
					"npi": [ ]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "951684089"
			},
			"service_code": ["22", "23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 2.82,
				"providers":[{
					"billed_charge": 20.16,
					"npi": [1659359446]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "956111785"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 7.50,
				"providers":[{
					"billed_charge": 15.00,
					"npi": [1225019557]
				}]
			}]
		}]
	},{
		"name": "PR CHG DRUG TST PRSMV INSTRMNT CHEM ANALYZERS PR DATE",
		"billing_code_type": "CPT",
		"billing_code_type_version": "2026",
		"billing_code": "80307",
		"description": "Drug Tst Prsmv Instrmnt Chem Analyzers PR Date",
		"allowed_amounts":[{
			"tin": {
				"type": "ein",
				"value": "133757370"
			},
			"service_code": ["81"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 62.14,
				"providers":[{
					"billed_charge": 118.00,
					"npi": [1487639381]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "522372297"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 74.57,
				"providers":[{
					"billed_charge": 434.98,
					"npi": [1073672473]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "710897031"
			},
			"service_code": ["81"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 62.14,
				"providers":[{
					"billed_charge": 113.54,
					"npi": [1811997711]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "840611484"
			},
			"service_code": ["81"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 62.14,
				"providers":[{
					"billed_charge": 214.38,
					"npi": [1740262880]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "843172409"
			},
			"service_code": ["81"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 4198.40,
					"npi": [1003437500]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "940760193"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 175.03,
				"providers":[{
					"billed_charge": 1646.00,
					"npi": [1932197258]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "952589913"
			},
			"service_code": ["21", "22", "23"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"billing_code_modifier": ["26"],
				"providers":[{
					"billed_charge": 57.75,
					"npi": [1447220124]
				},{
					"billed_charge": 49.00,
					"npi": [1447220124]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "952645519"
			},
			"service_code": ["23"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"billing_code_modifier": ["26"],
				"providers":[{
					"billed_charge": 75.64,
					"npi": [1598821589]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "953782169"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 448.80,
				"providers":[{
					"billed_charge": 528.00,
					"npi": [1407839921]
				}]
			}]
		}]
	},{
		"name": "PR PHYSICAL THERAPY EVALUATION LOW COMPLEX 20 MINS",
		"billing_code_type": "CPT",
		"billing_code_type_version": "2026",
		"billing_code": "97161",
		"description": "Physical Therapy Evaluation Low Complex 20 Mins",
		"allowed_amounts":[{
			"tin": {
				"type": "ein",
				"value": "113831153"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 1330.00,
				"billing_code_modifier": ["GP"],
				"providers":[{
					"billed_charge": 1300.00,
					"npi": [1841356664]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "205067091"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 250.00,
				"billing_code_modifier": ["GP"],
				"providers":[{
					"billed_charge": 187.72,
					"npi": [1093564684,1144798281,1932713823]
				}]
			},{
				"allowed_amount": 350.00,
				"billing_code_modifier": ["GP"],
				"providers":[{
					"billed_charge": 187.72,
					"npi": [1144798281,1265557334]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "260019293"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 514.00,
				"billing_code_modifier": ["GP"],
				"providers":[{
					"billed_charge": 139.00,
					"npi": [1194827816]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "261911128"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 220.00,
				"billing_code_modifier": ["GP"],
				"providers":[{
					"billed_charge": 224.00,
					"npi": [1891486619]
				}]
			},{
				"allowed_amount": 250.00,
				"billing_code_modifier": ["GP"],
				"providers":[{
					"billed_charge": 224.00,
					"npi": [1396560199,1659722320,1780212092]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "262193316"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 107.81,
				"billing_code_modifier": ["GP", "59"],
				"providers":[{
					"billed_charge": 140.00,
					"npi": [1780154237]
				}]
			},{
				"allowed_amount": 108.29,
				"billing_code_modifier": ["GP", "59"],
				"providers":[{
					"billed_charge": 140.00,
					"npi": [1609916873]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "330264878"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 250.00,
				"billing_code_modifier": ["GP"],
				"providers":[{
					"billed_charge": 180.00,
					"npi": [1376127795]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "330493339"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 250.00,
				"providers":[{
					"billed_charge": 250.00,
					"npi": [1558070599]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "455334364"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 250.00,
				"providers":[{
					"billed_charge": 130.00,
					"npi": [1659448694]
				}]
			},{
				"allowed_amount": 350.00,
				"providers":[{
					"billed_charge": 130.00,
					"npi": [1659448694]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "464813023"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 97.03,
				"billing_code_modifier": ["GP"],
				"providers":[{
					"billed_charge": 150.00,
					"npi": [1316608102]
				}]
			},{
				"allowed_amount": 97.03,
				"providers":[{
					"billed_charge": 150.00,
					"npi": [1205501160,1598429821]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "821821291"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 86.25,
				"billing_code_modifier": ["GP"],
				"providers":[{
					"billed_charge": 260.00,
					"npi": [1184098683]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "825160608"
			},
			"service_code": ["12"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"billing_code_modifier": ["GP"],
				"providers":[{
					"billed_charge": 175.00,
					"npi": [1417408618]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "951684089"
			},
			"service_code": ["22"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 30.64,
				"billing_code_modifier": ["GP"],
				"providers":[{
					"billed_charge": 218.88,
					"npi": [1841233780]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "951684089"
			},
			"service_code": ["22"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 30.64,
				"billing_code_modifier": ["GP"],
				"providers":[{
					"billed_charge": 218.88,
					"npi": [1700829199]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "953579976"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"billing_code_modifier": ["GP"],
				"providers":[{
					"billed_charge": 160.00,
					"npi": [1932821162]
				},{
					"billed_charge": 270.00,
					"npi": [1669645081]
				}]
			},{
				"allowed_amount": 220.00,
				"billing_code_modifier": ["GP"],
				"providers":[{
					"billed_charge": 160.00,
					"npi": [1497357008]
				}]
			},{
				"allowed_amount": 250.00,
				"billing_code_modifier": ["GP"],
				"providers":[{
					"billed_charge": 160.00,
					"npi": [1104657444,1134630189,1194326413,1366019010,1659180636,1669645081,1770151672,1942983770]
				},{
					"billed_charge": 270.00,
					"npi": [1356102354,1386692622,1538868112,1548574379,1700151529]
				}]
			},{
				"allowed_amount": 30.00,
				"billing_code_modifier": ["GP"],
				"providers":[{
					"billed_charge": 160.00,
					"npi": [1295234433]
				}]
			},{
				"allowed_amount": 360.00,
				"billing_code_modifier": ["GP"],
				"providers":[{
					"billed_charge": 160.00,
					"npi": [1053568196]
				},{
					"billed_charge": 270.00,
					"npi": [1659180636,1790516953]
				}]
			}]
		}]
	},{
		"name": "PR PHYSICAL THERAPY EVALUATION MOD COMPLEX 30 MINS",
		"billing_code_type": "CPT",
		"billing_code_type_version": "2026",
		"billing_code": "97162",
		"description": "Physical Therapy Evaluation Mod Complex 30 Mins",
		"allowed_amounts":[{
			"tin": {
				"type": "ein",
				"value": "113831153"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 1300.00,
				"providers":[{
					"billed_charge": 1300.00,
					"npi": [1841356664]
				}]
			},{
				"allowed_amount": 1330.00,
				"billing_code_modifier": ["GP"],
				"providers":[{
					"billed_charge": 1300.00,
					"npi": [1841356664]
				}]
			},{
				"allowed_amount": 1330.00,
				"providers":[{
					"billed_charge": 1300.00,
					"npi": [1841356664]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "205067091"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"billing_code_modifier": ["GP"],
				"providers":[{
					"billed_charge": 187.72,
					"npi": [1063026243]
				}]
			},{
				"allowed_amount": 250.00,
				"billing_code_modifier": ["GP"],
				"providers":[{
					"billed_charge": 187.72,
					"npi": [1063026243,1083662456,1154330496]
				}]
			},{
				"allowed_amount": 320.00,
				"billing_code_modifier": ["GP"],
				"providers":[{
					"billed_charge": 187.72,
					"npi": [1083662456]
				}]
			},{
				"allowed_amount": 350.00,
				"billing_code_modifier": ["GP"],
				"providers":[{
					"billed_charge": 187.72,
					"npi": [1154330496]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "261911128"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 320.00,
				"billing_code_modifier": ["GP"],
				"providers":[{
					"billed_charge": 263.00,
					"npi": [1760561005]
				}]
			},{
				"allowed_amount": 350.00,
				"billing_code_modifier": ["GP"],
				"providers":[{
					"billed_charge": 263.00,
					"npi": [1255316733,1750559431]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "274418547"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 86.25,
				"billing_code_modifier": ["GP"],
				"providers":[{
					"billed_charge": 200.00,
					"npi": [1710193602]
				}]
			},{
				"allowed_amount": 0.00,
				"billing_code_modifier": ["GP"],
				"providers":[{
					"billed_charge": 200.00,
					"npi": [1710193602]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "330142586"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 86.25,
				"billing_code_modifier": ["59", "GP"],
				"providers":[{
					"billed_charge": 95.00,
					"npi": [1043930183,1538624200,1639568017]
				}]
			},{
				"allowed_amount": 86.63,
				"billing_code_modifier": ["59", "GP"],
				"providers":[{
					"billed_charge": 95.00,
					"npi": [1376091561]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "330264878"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 250.00,
				"billing_code_modifier": ["GP"],
				"providers":[{
					"billed_charge": 195.00,
					"npi": [1376127795,1619604824]
				}]
			},{
				"allowed_amount": 350.00,
				"billing_code_modifier": ["GP"],
				"providers":[{
					"billed_charge": 195.00,
					"npi": [1376127795]
				}]
			},{
				"allowed_amount": 360.00,
				"billing_code_modifier": ["GP"],
				"providers":[{
					"billed_charge": 200.00,
					"npi": [1396529244]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "330493339"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 250.00,
				"providers":[{
					"billed_charge": 120.00,
					"npi": [1366997702]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "330905392"
			},
			"service_code": ["62"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 118.59,
				"billing_code_modifier": ["GP"],
				"providers":[{
					"billed_charge": 150.00,
					"npi": [1871597286]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "464813023"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 97.03,
				"billing_code_modifier": ["GP"],
				"providers":[{
					"billed_charge": 175.00,
					"npi": [1194316430]
				}]
			},{
				"allowed_amount": 97.03,
				"providers":[{
					"billed_charge": 175.00,
					"npi": [1083224356,1336922160,1568281491,1902475700,1922874866]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "813597392"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 86.63,
				"billing_code_modifier": ["GP"],
				"providers":[{
					"billed_charge": 150.00,
					"npi": [1073312492]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "825160608"
			},
			"service_code": ["12"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"billing_code_modifier": ["GP"],
				"providers":[{
					"billed_charge": 175.00,
					"npi": [1982812111]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "825387674"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 86.25,
				"billing_code_modifier": ["GP"],
				"providers":[{
					"billed_charge": 150.00,
					"npi": [1295361921]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "870737749"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 107.81,
				"billing_code_modifier": ["GP"],
				"providers":[{
					"billed_charge": 332.88,
					"npi": [1033801493]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "953579976"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"billing_code_modifier": ["GP"],
				"providers":[{
					"billed_charge": 170.00,
					"npi": [1770151672]
				}]
			},{
				"allowed_amount": 250.00,
				"billing_code_modifier": ["GP"],
				"providers":[{
					"billed_charge": 170.00,
					"npi": [1073161261,1104657444,1669645081]
				},{
					"billed_charge": 270.00,
					"npi": [1255009189,1700151529,1972852044]
				}]
			}]
		}]
	},{
		"name": "PR CHG BASIC METABOLIC PANEL CALCIUM TOTAL",
		"billing_code_type": "CPT",
		"billing_code_type_version": "2026",
		"billing_code": "80048",
		"description": "Basic Metabolic Panel Calcium Total",
		"allowed_amounts":[{
			"tin": {
				"type": "ein",
				"value": "330449527"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 298.35,
				"providers":[{
					"billed_charge": 351.00,
					"npi": [1528041811]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "330456095"
			},
			"service_code": ["21"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"billing_code_modifier": ["26"],
				"providers":[{
					"billed_charge": 12.00,
					"npi": [1972690790]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "951684089"
			},
			"service_code": ["22"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 34.16,
				"providers":[{
					"billed_charge": 244.00,
					"npi": [1841233780]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "951684089"
			},
			"service_code": ["22"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 34.16,
				"providers":[{
					"billed_charge": 244.00,
					"npi": [1700829199]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "951684089"
			},
			"service_code": ["22"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 34.16,
				"providers":[{
					"billed_charge": 244.00,
					"npi": [1841277704]
				}]
			},{
				"allowed_amount": 36.60,
				"providers":[{
					"billed_charge": 244.00,
					"npi": [1841277704]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "951684089"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 112.24,
				"providers":[{
					"billed_charge": 244.00,
					"npi": [ ]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "951684089"
			},
			"service_code": ["22"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 34.16,
				"providers":[{
					"billed_charge": 244.00,
					"npi": [1659359446]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "952589913"
			},
			"service_code": ["21", "22", "23"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"billing_code_modifier": ["26"],
				"providers":[{
					"billed_charge": 15.40,
					"npi": [1447220124]
				},{
					"billed_charge": 30.80,
					"npi": [1447220124]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "956003843"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 581.85,
					"npi": [1457321317]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "994231206"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 104.48,
				"providers":[{
					"billed_charge": 104.48,
					"npi": [1184429185]
				}]
			}]
		}]
	},{
		"name": "PR CHG METABOLIC PANEL,COMPREHENSIVE",
		"billing_code_type": "CPT",
		"billing_code_type_version": "2026",
		"billing_code": "80053",
		"description": "Metabolic Panel,Comprehensive",
		"allowed_amounts":[{
			"tin": {
				"type": "ein",
				"value": "233059262"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 84.19,
				"providers":[{
					"billed_charge": 448.00,
					"npi": [1245221050]
				},{
					"billed_charge": 493.00,
					"npi": [1245221050]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "330294751"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 10.56,
				"providers":[{
					"billed_charge": 260.00,
					"npi": [1073553756]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "330449527"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 398.65,
				"billing_code_modifier": ["59"],
				"providers":[{
					"billed_charge": 469.00,
					"npi": [1528041811]
				}]
			},{
				"allowed_amount": 398.65,
				"providers":[{
					"billed_charge": 469.00,
					"npi": [1528041811]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "330456095"
			},
			"service_code": ["21"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 14.00,
					"npi": [1972690790]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "330599494"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 252.80,
				"providers":[{
					"billed_charge": 316.00,
					"npi": [1184722779]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "461246570"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 84.19,
				"providers":[{
					"billed_charge": 369.00,
					"npi": [1679816201]
				},{
					"billed_charge": 406.00,
					"npi": [1679816201]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "461251630"
			},
			"service_code": ["22"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"billing_code_modifier": ["26"],
				"providers":[{
					"billed_charge": 9.50,
					"npi": [1225168032]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "710897031"
			},
			"service_code": ["81"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 10.56,
				"providers":[{
					"billed_charge": 100.75,
					"npi": [1023054863]
				}]
			},{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 100.75,
					"npi": [1366479099]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "721561119"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 1203.00,
				"providers":[{
					"billed_charge": 1203.00,
					"npi": [1427181007]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "721561134"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 344.00,
				"billing_code_modifier": ["ER"],
				"providers":[{
					"billed_charge": 344.00,
					"npi": [1265065445]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "840611484"
			},
			"service_code": ["81"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 10.56,
				"providers":[{
					"billed_charge": 51.45,
					"npi": [1659352276]
				}]
			},{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 10.35,
					"npi": [1659352276]
				},{
					"billed_charge": 51.45,
					"npi": [1659352276]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "870737749"
			},
			"service_code": ["81"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 8.45,
				"providers":[{
					"billed_charge": 36.96,
					"npi": [1427034990]
				}]
			},{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 36.96,
					"npi": [1578549044,1720279805]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "940760193"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 97.44,
				"providers":[{
					"billed_charge": 987.00,
					"npi": [1932197258]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "942761692"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 87.08,
				"providers":[{
					"billed_charge": 710.00,
					"npi": [1356389878]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "951684089"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 196.00,
				"billing_code_modifier": ["TC"],
				"providers":[{
					"billed_charge": 391.99,
					"npi": [1841277704]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "951684089"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 196.00,
				"providers":[{
					"billed_charge": 391.99,
					"npi": [ ]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "951684089"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 54.88,
				"providers":[{
					"billed_charge": 391.99,
					"npi": [1659359446]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "951691313"
			},
			"service_code": ["22"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 485.00,
					"npi": [1710065933]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "952367304"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 398.65,
				"providers":[{
					"billed_charge": 469.00,
					"npi": [1396728630]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "952589913"
			},
			"service_code": ["21", "22", "23"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"billing_code_modifier": ["26"],
				"providers":[{
					"billed_charge": 19.09,
					"npi": [1447220124]
				},{
					"billed_charge": 38.18,
					"npi": [1447220124]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "952645519"
			},
			"service_code": ["23"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"billing_code_modifier": ["26"],
				"providers":[{
					"billed_charge": 139.94,
					"npi": [1598821589]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "953782169"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 398.65,
				"providers":[{
					"billed_charge": 469.00,
					"npi": [1407839921]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "956003843"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 726.77,
					"npi": [1376513754,1457321317]
				},{
					"billed_charge": 60.00,
					"npi": [1457321317]
				}]
			}]
		}]
	},{
		"name": "PR CHG URINALYSIS, AUTO, W/SCOPE",
		"billing_code_type": "CPT",
		"billing_code_type_version": "2026",
		"billing_code": "81001",
		"description": "Urinalysis, Auto, W/Scope",
		"allowed_amounts":[{
			"tin": {
				"type": "ein",
				"value": "233059262"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 30.86,
				"providers":[{
					"billed_charge": 276.00,
					"npi": [1245221050]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "330449527"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 103.70,
				"providers":[{
					"billed_charge": 122.00,
					"npi": [1528041811]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "410849339"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 29.48,
					"npi": [1881845683]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "710897031"
			},
			"service_code": ["81"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 3.17,
				"providers":[{
					"billed_charge": 54.44,
					"npi": [1023054863]
				}]
			},{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 54.44,
					"npi": [1366479099]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "870737749"
			},
			"service_code": ["81"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 2.54,
				"providers":[{
					"billed_charge": 12.24,
					"npi": [1427034990,1720279805]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "940760193"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 35.71,
				"billing_code_modifier": ["59"],
				"providers":[{
					"billed_charge": 198.00,
					"npi": [1932197258]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "951684089"
			},
			"service_code": ["22"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 21.21,
				"providers":[{
					"billed_charge": 141.43,
					"npi": [1841277704]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "952367304"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 103.70,
				"providers":[{
					"billed_charge": 122.00,
					"npi": [1396728630]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "952589913"
			},
			"service_code": ["21", "22", "23"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"billing_code_modifier": ["26"],
				"providers":[{
					"billed_charge": 6.95,
					"npi": [1447220124]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "953782169"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 103.70,
				"billing_code_modifier": ["59"],
				"providers":[{
					"billed_charge": 122.00,
					"npi": [1407839921]
				}]
			},{
				"allowed_amount": 103.70,
				"providers":[{
					"billed_charge": 122.00,
					"npi": [1407839921]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "956003843"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 85.44,
					"npi": [1457321317]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "956064971"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 30.86,
				"providers":[{
					"billed_charge": 437.00,
					"npi": [1063495190]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "994231206"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 39.38,
				"providers":[{
					"billed_charge": 39.38,
					"npi": [1184429185]
				}]
			}]
		}]
	},{
		"name": "PR CHG URINALYSIS, AUTO, W/O SCOPE",
		"billing_code_type": "CPT",
		"billing_code_type_version": "2026",
		"billing_code": "81003",
		"description": "Urinalysis, Auto, W/O Scope",
		"allowed_amounts":[{
			"tin": {
				"type": " ",
				"value": ""
			},
			"service_code": ["20"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 35.00,
				"providers":[{
					"billed_charge": 35.00,
					"npi": [ ]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "208785833"
			},
			"service_code": ["20"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"billing_code_modifier": ["QW"],
				"providers":[{
					"billed_charge": 20.00,
					"npi": [1275601478]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "233059262"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 19.78,
				"providers":[{
					"billed_charge": 297.00,
					"npi": [1245221050]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "272973102"
			},
			"service_code": ["20"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"billing_code_modifier": ["QW", "59"],
				"providers":[{
					"billed_charge": 25.00,
					"npi": [1013557925,1033540554,1245878255,1912367830]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "274666463"
			},
			"service_code": ["20"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 2.11,
				"billing_code_modifier": ["QW"],
				"providers":[{
					"billed_charge": 45.00,
					"npi": [1235265844]
				}]
			},{
				"allowed_amount": 2.11,
				"billing_code_modifier": ["QW", "59"],
				"providers":[{
					"billed_charge": 45.00,
					"npi": [1023420916,1457391740,1962463901]
				}]
			},{
				"allowed_amount": 0.00,
				"billing_code_modifier": ["QW"],
				"providers":[{
					"billed_charge": 45.00,
					"npi": [1811938038]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "330449527"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 80.75,
				"providers":[{
					"billed_charge": 95.00,
					"npi": [1528041811]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "464742014"
			},
			"service_code": ["20"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"billing_code_modifier": ["QW", "59"],
				"providers":[{
					"billed_charge": 25.00,
					"npi": [1013557925]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "474830165"
			},
			"service_code": ["20"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"billing_code_modifier": ["QW"],
				"providers":[{
					"billed_charge": 18.00,
					"npi": [1104524891]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "721561134"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 111.00,
				"billing_code_modifier": ["ER"],
				"providers":[{
					"billed_charge": 111.00,
					"npi": [1265065445]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "870737748"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 2.25,
				"billing_code_modifier": ["QW"],
				"providers":[{
					"billed_charge": 9.79,
					"npi": [1538113493]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "870737749"
			},
			"service_code": ["20", "81"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 2.25,
				"billing_code_modifier": ["QW"],
				"providers":[{
					"billed_charge": 9.79,
					"npi": [1962503805]
				}]
			},{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 9.79,
					"npi": [1720279805]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "934895258"
			},
			"service_code": ["20"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 20.00,
				"billing_code_modifier": ["QW"],
				"providers":[{
					"billed_charge": 20.00,
					"npi": [1114798071]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "941105628"
			},
			"service_code": ["22", "23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 11.29,
				"providers":[{
					"billed_charge": 112.00,
					"npi": [1558080861]
				}]
			},{
				"allowed_amount": 22.24,
				"providers":[{
					"billed_charge": 115.00,
					"npi": [1558080861]
				}]
			},{
				"allowed_amount": 109.25,
				"providers":[{
					"billed_charge": 115.00,
					"npi": [1851417547]
				}]
			},{
				"allowed_amount": 112.00,
				"providers":[{
					"billed_charge": 112.00,
					"npi": [1558080861]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "941105628"
			},
			"service_code": ["22"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 0.00,
				"billing_code_modifier": ["59"],
				"providers":[{
					"billed_charge": 115.00,
					"npi": [1013062769]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "941156581"
			},
			"service_code": ["20"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 2.11,
				"providers":[{
					"billed_charge": 19.00,
					"npi": [1760413793]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "951684089"
			},
			"service_code": ["22"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 12.72,
				"providers":[{
					"billed_charge": 84.77,
					"npi": [1841277704]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "951684089"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 11.87,
				"providers":[{
					"billed_charge": 84.77,
					"npi": [1659359446]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "952589913"
			},
			"service_code": ["22", "23"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"billing_code_modifier": ["26"],
				"providers":[{
					"billed_charge": 5.01,
					"npi": [1447220124]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "952645519"
			},
			"service_code": ["23"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"billing_code_modifier": ["26"],
				"providers":[{
					"billed_charge": 34.34,
					"npi": [1598821589]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "953782169"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 22.10,
				"providers":[{
					"billed_charge": 26.00,
					"npi": [1407839921]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "956003843"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 50.83,
					"npi": [1376513754]
				}]
			}]
		}]
	},{
		"name": "PR CHG URINE PREGNANCY TEST",
		"billing_code_type": "CPT",
		"billing_code_type_version": "2026",
		"billing_code": "81025",
		"description": "Urine Pregnancy Test",
		"allowed_amounts":[{
			"tin": {
				"type": "ein",
				"value": "208785833"
			},
			"service_code": ["20"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 20.00,
					"npi": [1275601478]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "272973102"
			},
			"service_code": ["20"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 28.00,
					"npi": [1013557925]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "274666463"
			},
			"service_code": ["20"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 8.46,
				"providers":[{
					"billed_charge": 60.00,
					"npi": [1457391740,1962463901]
				}]
			},{
				"allowed_amount": 0.00,
				"billing_code_modifier": ["59"],
				"providers":[{
					"billed_charge": 60.00,
					"npi": [1023420916]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "461246570"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 44.94,
				"providers":[{
					"billed_charge": 349.00,
					"npi": [1679816201]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "464742014"
			},
			"service_code": ["20"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 28.00,
					"npi": [1013557925]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "814880488"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 30.00,
					"npi": [1073633301,1790221703]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "870737749"
			},
			"service_code": ["81"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 6.89,
				"providers":[{
					"billed_charge": 30.14,
					"npi": [1427034990]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "900454894"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 44.49,
				"providers":[{
					"billed_charge": 320.00,
					"npi": [1891938122]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "951684089"
			},
			"service_code": ["22"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 14.52,
				"providers":[{
					"billed_charge": 103.68,
					"npi": [1659359446]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "951691313"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 14.03,
				"providers":[{
					"billed_charge": 25.00,
					"npi": [1740316405]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "952589913"
			},
			"service_code": ["22", "23"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"billing_code_modifier": ["26"],
				"providers":[{
					"billed_charge": 10.95,
					"npi": [1447220124]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "956111785"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 20.00,
					"npi": [1225019557]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "994231206"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 18.71,
				"providers":[{
					"billed_charge": 18.71,
					"npi": [1184429185]
				}]
			}]
		}]
	},{
		"name": "PR CHG ALPHA-FETOPROTEIN, SERUM",
		"billing_code_type": "CPT",
		"billing_code_type_version": "2026",
		"billing_code": "82105",
		"description": "Alpha-Fetoprotein, Serum",
		"allowed_amounts":[{
			"tin": {
				"type": "ein",
				"value": "840611484"
			},
			"service_code": ["81"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 16.77,
				"providers":[{
					"billed_charge": 118.65,
					"npi": [1659352276]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "943402381"
			},
			"service_code": ["81"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 85.00,
				"providers":[{
					"billed_charge": 85.00,
					"npi": [1588712020]
				}]
			}]
		}]
	},{
		"name": "PR CHG ASSAY OF LIPASE",
		"billing_code_type": "CPT",
		"billing_code_type_version": "2026",
		"billing_code": "83690",
		"description": "Assay of Lipase",
		"allowed_amounts":[{
			"tin": {
				"type": "ein",
				"value": "233059262"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 54.46,
				"providers":[{
					"billed_charge": 194.00,
					"npi": [1245221050]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "721561119"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 954.00,
				"providers":[{
					"billed_charge": 954.00,
					"npi": [1427181007]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "941105628"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 269.80,
				"providers":[{
					"billed_charge": 284.00,
					"npi": [1851417547]
				}]
			},{
				"allowed_amount": 276.00,
				"providers":[{
					"billed_charge": 276.00,
					"npi": [1558080861]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "941105628"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 276.00,
					"npi": [1013062769]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "951684089"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 48.38,
				"providers":[{
					"billed_charge": 345.60,
					"npi": [1659359446]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "952367304"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 184.45,
				"providers":[{
					"billed_charge": 217.00,
					"npi": [1396728630]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "952589913"
			},
			"service_code": ["22", "23"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"billing_code_modifier": ["26"],
				"providers":[{
					"billed_charge": 11.86,
					"npi": [1447220124]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "953782169"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 184.45,
				"providers":[{
					"billed_charge": 217.00,
					"npi": [1407839921]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "956003843"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 78.95,
					"npi": [1457321317]
				}]
			}]
		}]
	},{
		"name": "PR CHG ASSAY OF MAGNESIUM",
		"billing_code_type": "CPT",
		"billing_code_type_version": "2026",
		"billing_code": "83735",
		"description": "Assay of Magnesium",
		"allowed_amounts":[{
			"tin": {
				"type": "ein",
				"value": "330449527"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 161.50,
				"providers":[{
					"billed_charge": 190.00,
					"npi": [1528041811]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "330599494"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 192.80,
				"providers":[{
					"billed_charge": 241.00,
					"npi": [1184722779]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "461251630"
			},
			"service_code": ["22"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"billing_code_modifier": ["26"],
				"providers":[{
					"billed_charge": 6.00,
					"npi": [1225168032]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "840611484"
			},
			"service_code": ["81"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 6.70,
				"providers":[{
					"billed_charge": 43.05,
					"npi": [1659352276]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "843172409"
			},
			"service_code": ["81"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"billing_code_modifier": ["90"],
				"providers":[{
					"billed_charge": 21.78,
					"npi": [1174662555]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "941105628"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 43.11,
				"providers":[{
					"billed_charge": 204.00,
					"npi": [1558080861]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "951684089"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 9.19,
				"providers":[{
					"billed_charge": 65.66,
					"npi": [1659359446]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "952367304"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 161.50,
				"providers":[{
					"billed_charge": 190.00,
					"npi": [1396728630]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "952589913"
			},
			"service_code": ["21", "22", "23"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"billing_code_modifier": ["26"],
				"providers":[{
					"billed_charge": 11.41,
					"npi": [1447220124]
				},{
					"billed_charge": 22.82,
					"npi": [1447220124]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "956003843"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 270.38,
					"npi": [1376513754,1457321317]
				}]
			}]
		}]
	},{
		"name": "PR CHG ASSAY OF TROPONIN, QUANT",
		"billing_code_type": "CPT",
		"billing_code_type_version": "2026",
		"billing_code": "84484",
		"description": "Assay of Troponin, Quant",
		"allowed_amounts":[{
			"tin": {
				"type": "ein",
				"value": "330456095"
			},
			"service_code": ["21"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"billing_code_modifier": ["26"],
				"providers":[{
					"billed_charge": 116.00,
					"npi": [1972690790]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "330599494"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 453.60,
				"providers":[{
					"billed_charge": 567.00,
					"npi": [1184722779]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "461246570"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 83.84,
				"billing_code_modifier": ["91"],
				"providers":[{
					"billed_charge": 431.00,
					"npi": [1679816201]
				}]
			},{
				"allowed_amount": 83.84,
				"providers":[{
					"billed_charge": 392.00,
					"npi": [1679816201]
				},{
					"billed_charge": 431.00,
					"npi": [1679816201]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "461251630"
			},
			"service_code": ["22"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"billing_code_modifier": ["26"],
				"providers":[{
					"billed_charge": 8.50,
					"npi": [1225168032]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "870737749"
			},
			"service_code": ["81"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 43.65,
					"npi": [1427034990]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "940760193"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 97.03,
				"providers":[{
					"billed_charge": 490.00,
					"npi": [1932197258]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "941105628"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 94.31,
				"providers":[{
					"billed_charge": 365.00,
					"npi": [1558080861]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "941105628"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 354.00,
					"npi": [1013062769]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "942761692"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 86.73,
				"providers":[{
					"billed_charge": 624.00,
					"npi": [1356389878]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "951684089"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 88.71,
				"billing_code_modifier": ["TC"],
				"providers":[{
					"billed_charge": 177.41,
					"npi": [1841277704]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "951684089"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 88.71,
				"providers":[{
					"billed_charge": 177.41,
					"npi": [ ]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "952367304"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 223.55,
				"providers":[{
					"billed_charge": 263.00,
					"npi": [1396728630]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "952589913"
			},
			"service_code": ["22", "23"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"billing_code_modifier": ["26"],
				"providers":[{
					"billed_charge": 16.89,
					"npi": [1447220124]
				},{
					"billed_charge": 33.78,
					"npi": [1447220124]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "953782169"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 447.10,
				"providers":[{
					"billed_charge": 526.00,
					"npi": [1407839921]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "956003843"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 135.19,
					"npi": [1457321317]
				},{
					"billed_charge": 270.38,
					"npi": [1376513754,1457321317]
				},{
					"billed_charge": 130.00,
					"npi": [1457321317]
				}]
			}]
		}]
	},{
		"name": "PR CHG CHORIONIC GONADOTROPIN, QUANT",
		"billing_code_type": "CPT",
		"billing_code_type_version": "2026",
		"billing_code": "84702",
		"description": "Chorionic Gonadotropin, Quant",
		"allowed_amounts":[{
			"tin": {
				"type": "ein",
				"value": "233059262"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 82.53,
				"providers":[{
					"billed_charge": 1519.00,
					"npi": [1245221050]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "330449527"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 341.70,
				"providers":[{
					"billed_charge": 402.00,
					"npi": [1528041811]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "330735143"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 19.57,
				"providers":[{
					"billed_charge": 49.50,
					"npi": [1275066334]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "710897031"
			},
			"service_code": ["81"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 15.05,
				"providers":[{
					"billed_charge": 167.51,
					"npi": [1023054863]
				},{
					"billed_charge": 175.89,
					"npi": [1023054863]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "840611484"
			},
			"service_code": ["81"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 15.05,
				"providers":[{
					"billed_charge": 126.00,
					"npi": [1659352276]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "941105628"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 92.85,
				"providers":[{
					"billed_charge": 390.00,
					"npi": [1558080861]
				}]
			},{
				"allowed_amount": 370.50,
				"providers":[{
					"billed_charge": 390.00,
					"npi": [1851417547]
				}]
			},{
				"allowed_amount": 384.00,
				"providers":[{
					"billed_charge": 384.00,
					"npi": [1558080861]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "941105628"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 384.00,
					"npi": [1013062769]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "952367304"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 341.70,
				"providers":[{
					"billed_charge": 402.00,
					"npi": [1396728630]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "952589913"
			},
			"service_code": ["22", "23"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"billing_code_modifier": ["26"],
				"providers":[{
					"billed_charge": 26.02,
					"npi": [1447220124]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "953782169"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 341.70,
				"providers":[{
					"billed_charge": 402.00,
					"npi": [1407839921]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "956003843"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 694.32,
					"npi": [1457321317]
				},{
					"billed_charge": 105.00,
					"npi": [1457321317]
				}]
			}]
		}]
	},{
		"name": "PR CHG CHORIONIC GONADOTROPIN, QUAL",
		"billing_code_type": "CPT",
		"billing_code_type_version": "2026",
		"billing_code": "84703",
		"description": "Chorionic Gonadotropin, Qual",
		"allowed_amounts":[{
			"tin": {
				"type": "ein",
				"value": "233059262"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 55.74,
				"providers":[{
					"billed_charge": 281.00,
					"npi": [1245221050]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "330294751"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 7.52,
				"providers":[{
					"billed_charge": 107.00,
					"npi": [1073553756]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "721561119"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 763.00,
				"providers":[{
					"billed_charge": 763.00,
					"npi": [1427181007]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "870737749"
			},
			"service_code": ["11", "20"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 7.52,
				"billing_code_modifier": ["QW"],
				"providers":[{
					"billed_charge": 26.32,
					"npi": [1467006148,1962503805]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "940760193"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 64.51,
				"providers":[{
					"billed_charge": 537.00,
					"npi": [1932197258]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "951684089"
			},
			"service_code": ["22"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 64.83,
				"providers":[{
					"billed_charge": 463.10,
					"npi": [1841277704]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "951684089"
			},
			"service_code": ["22"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 64.83,
				"providers":[{
					"billed_charge": 463.10,
					"npi": [1659359446]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "952367304"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 238.00,
				"providers":[{
					"billed_charge": 280.00,
					"npi": [1396728630]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "952589913"
			},
			"service_code": ["21", "23"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"billing_code_modifier": ["26"],
				"providers":[{
					"billed_charge": 14.80,
					"npi": [1447220124]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "953782169"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 238.00,
				"providers":[{
					"billed_charge": 280.00,
					"npi": [1407839921]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "956003843"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 423.95,
					"npi": [1457321317]
				}]
			}]
		}]
	},{
		"name": "PR CHG COMPLETE CBC & AUTO DIFF WBC",
		"billing_code_type": "CPT",
		"billing_code_type_version": "2026",
		"billing_code": "85025",
		"description": "Complete Cbc & Auto Diff Wbc",
		"allowed_amounts":[{
			"tin": {
				"type": "ein",
				"value": "233059262"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 45.58,
				"providers":[{
					"billed_charge": 309.00,
					"npi": [1245221050]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "330294751"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 7.52,
				"providers":[{
					"billed_charge": 96.75,
					"npi": [1073553756]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "330449527"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 168.30,
				"providers":[{
					"billed_charge": 198.00,
					"npi": [1528041811]
				}]
			},{
				"allowed_amount": 336.60,
				"billing_code_modifier": ["91"],
				"providers":[{
					"billed_charge": 396.00,
					"npi": [1528041811]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "330456095"
			},
			"service_code": ["21"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"billing_code_modifier": ["26"],
				"providers":[{
					"billed_charge": 17.00,
					"npi": [1972690790]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "330599494"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 93.60,
				"providers":[{
					"billed_charge": 117.00,
					"npi": [1184722779]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "461246570"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 45.58,
				"providers":[{
					"billed_charge": 278.00,
					"npi": [1679816201]
				},{
					"billed_charge": 306.00,
					"npi": [1679816201]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "461251630"
			},
			"service_code": ["22"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"billing_code_modifier": ["26"],
				"providers":[{
					"billed_charge": 6.75,
					"npi": [1225168032]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "710897031"
			},
			"service_code": ["81"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 7.77,
				"providers":[{
					"billed_charge": 52.05,
					"npi": [1023054863]
				}]
			},{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 52.05,
					"npi": [1366479099]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "721561119"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 638.00,
				"providers":[{
					"billed_charge": 638.00,
					"npi": [1427181007]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "721561134"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 252.00,
				"billing_code_modifier": ["ER"],
				"providers":[{
					"billed_charge": 252.00,
					"npi": [1265065445]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "840611484"
			},
			"service_code": ["81"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 7.77,
				"providers":[{
					"billed_charge": 39.90,
					"npi": [1659352276]
				}]
			},{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 7.61,
					"npi": [1659352276]
				},{
					"billed_charge": 39.90,
					"npi": [1659352276]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "870737749"
			},
			"service_code": ["81"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 6.22,
				"providers":[{
					"billed_charge": 27.20,
					"npi": [1427034990]
				}]
			},{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 27.20,
					"npi": [1578549044,1720279805]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "940760193"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 52.74,
				"providers":[{
					"billed_charge": 436.00,
					"npi": [1932197258]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "941105628"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 51.26,
				"providers":[{
					"billed_charge": 213.00,
					"npi": [1558080861]
				}]
			},{
				"allowed_amount": 202.35,
				"providers":[{
					"billed_charge": 213.00,
					"npi": [1851417547]
				}]
			},{
				"allowed_amount": 207.00,
				"providers":[{
					"billed_charge": 207.00,
					"npi": [1558080861]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "941105628"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 207.00,
					"npi": [1013062769]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "942761692"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 47.14,
				"providers":[{
					"billed_charge": 189.00,
					"npi": [1356389878]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "951684089"
			},
			"service_code": ["22"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 15.40,
				"providers":[{
					"billed_charge": 110.00,
					"npi": [1841233780]
				}]
			},{
				"allowed_amount": 30.80,
				"providers":[{
					"billed_charge": 220.00,
					"npi": [1841233780]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "951684089"
			},
			"service_code": ["22"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 15.40,
				"providers":[{
					"billed_charge": 110.00,
					"npi": [1700829199]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "951684089"
			},
			"service_code": ["22", "23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 15.40,
				"providers":[{
					"billed_charge": 110.00,
					"npi": [1841277704]
				}]
			},{
				"allowed_amount": 16.50,
				"providers":[{
					"billed_charge": 110.00,
					"npi": [1841277704]
				}]
			},{
				"allowed_amount": 55.00,
				"billing_code_modifier": ["TC"],
				"providers":[{
					"billed_charge": 110.00,
					"npi": [1841277704]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "951684089"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 50.60,
				"providers":[{
					"billed_charge": 110.00,
					"npi": [ ]
				}]
			},{
				"allowed_amount": 55.00,
				"providers":[{
					"billed_charge": 110.00,
					"npi": [ ]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "951684089"
			},
			"service_code": ["22", "23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 15.40,
				"providers":[{
					"billed_charge": 110.00,
					"npi": [1659359446]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "951691313"
			},
			"service_code": ["22"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 210.00,
					"npi": [1710065933]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "951750445"
			},
			"service_code": ["81"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 47.00,
					"npi": [1396287082]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "952367304"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 168.30,
				"providers":[{
					"billed_charge": 198.00,
					"npi": [1396728630]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "952589913"
			},
			"service_code": ["21", "22", "23"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"billing_code_modifier": ["26"],
				"providers":[{
					"billed_charge": 13.69,
					"npi": [1447220124]
				},{
					"billed_charge": 27.38,
					"npi": [1447220124]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "952645519"
			},
			"service_code": ["23"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"billing_code_modifier": ["26"],
				"providers":[{
					"billed_charge": 45.38,
					"npi": [1598821589]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "953782169"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 168.30,
				"providers":[{
					"billed_charge": 198.00,
					"npi": [1407839921]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "956003843"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 117.88,
					"npi": [1376513754,1457321317]
				},{
					"billed_charge": 55.00,
					"npi": [1457321317]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "994231206"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 158.00,
				"providers":[{
					"billed_charge": 158.00,
					"npi": [1184429185]
				}]
			}]
		}]
	},{
		"name": "PR CHG PROTHROMBIN TIME",
		"billing_code_type": "CPT",
		"billing_code_type_version": "2026",
		"billing_code": "85610",
		"description": "Prothrombin Time",
		"allowed_amounts":[{
			"tin": {
				"type": "ein",
				"value": "233059262"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 27.58,
				"providers":[{
					"billed_charge": 168.00,
					"npi": [1245221050]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "330294751"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 4.29,
				"providers":[{
					"billed_charge": 101.50,
					"npi": [1073553756]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "330449527"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 96.90,
				"providers":[{
					"billed_charge": 114.00,
					"npi": [1528041811]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "710897031"
			},
			"service_code": ["81"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 4.29,
				"providers":[{
					"billed_charge": 44.62,
					"npi": [1023054863]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "870737749"
			},
			"service_code": ["81"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 15.02,
					"npi": [1578549044]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "940760193"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 31.93,
				"providers":[{
					"billed_charge": 282.00,
					"npi": [1932197258]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "941105628"
			},
			"service_code": ["22"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 17.94,
				"providers":[{
					"billed_charge": 178.00,
					"npi": [1558080861]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "951684089"
			},
			"service_code": ["22"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 14.42,
				"providers":[{
					"billed_charge": 103.00,
					"npi": [1841277704]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "951684089"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 14.42,
				"providers":[{
					"billed_charge": 103.00,
					"npi": [1659359446]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "952589913"
			},
			"service_code": ["21", "22", "23"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"billing_code_modifier": ["26"],
				"providers":[{
					"billed_charge": 17.50,
					"npi": [1447220124]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "953782169"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 96.90,
				"providers":[{
					"billed_charge": 114.00,
					"npi": [1407839921]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "956003843"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 88.68,
					"npi": [1457321317]
				}]
			}]
		}]
	},{
		"name": "PR CHG RBC ANTIBODY SCREEN",
		"billing_code_type": "CPT",
		"billing_code_type_version": "2026",
		"billing_code": "86850",
		"description": "RBC Antibody Screen",
		"allowed_amounts":[{
			"tin": {
				"type": "ein",
				"value": "330449527"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 396.10,
				"billing_code_modifier": ["90"],
				"providers":[{
					"billed_charge": 466.00,
					"npi": [1528041811]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "870737749"
			},
			"service_code": ["81"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 7.82,
				"providers":[{
					"billed_charge": 49.07,
					"npi": [1427034990]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "951684089"
			},
			"service_code": ["22"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 27.58,
				"providers":[{
					"billed_charge": 196.99,
					"npi": [1841233780]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "952589913"
			},
			"service_code": ["21", "22", "23"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"billing_code_modifier": ["26"],
				"providers":[{
					"billed_charge": 22.37,
					"npi": [1447220124]
				}]
			}]
		}]
	},{
		"name": "PR CHG BLOOD TYPING SEROLOGIC ABO",
		"billing_code_type": "CPT",
		"billing_code_type_version": "2026",
		"billing_code": "86900",
		"description": "Blood Typing Serologic Abo",
		"allowed_amounts":[{
			"tin": {
				"type": "ein",
				"value": "330449527"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 15.30,
				"billing_code_modifier": ["90"],
				"providers":[{
					"billed_charge": 18.00,
					"npi": [1528041811]
				}]
			},{
				"allowed_amount": 30.60,
				"billing_code_modifier": ["90", "91"],
				"providers":[{
					"billed_charge": 36.00,
					"npi": [1528041811]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "870737749"
			},
			"service_code": ["81"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 2.39,
				"providers":[{
					"billed_charge": 11.52,
					"npi": [1427034990]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "951684089"
			},
			"service_code": ["22"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 129.18,
				"providers":[{
					"billed_charge": 922.74,
					"npi": [1841233780]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "952589913"
			},
			"service_code": ["21", "22", "23"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"billing_code_modifier": ["26"],
				"providers":[{
					"billed_charge": 6.07,
					"npi": [1447220124]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "956003843"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 330.94,
					"npi": [1457321317]
				}]
			}]
		}]
	},{
		"name": "PR CHG BLOOD TYPING SEROLOGIC RH (D)",
		"billing_code_type": "CPT",
		"billing_code_type_version": "2026",
		"billing_code": "86901",
		"description": "Blood Typing Serologic Rh (D)",
		"allowed_amounts":[{
			"tin": {
				"type": "ein",
				"value": "330449527"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 126.65,
				"billing_code_modifier": ["90"],
				"providers":[{
					"billed_charge": 149.00,
					"npi": [1528041811]
				}]
			},{
				"allowed_amount": 253.30,
				"billing_code_modifier": ["90", "91"],
				"providers":[{
					"billed_charge": 298.00,
					"npi": [1528041811]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "870737749"
			},
			"service_code": ["81"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 2.39,
				"providers":[{
					"billed_charge": 11.52,
					"npi": [1427034990]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "951684089"
			},
			"service_code": ["22"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 129.18,
				"providers":[{
					"billed_charge": 922.74,
					"npi": [1841233780]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "952589913"
			},
			"service_code": ["21", "22", "23"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"billing_code_modifier": ["26"],
				"providers":[{
					"billed_charge": 6.07,
					"npi": [1447220124]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "956003843"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 269.29,
					"npi": [1457321317]
				}]
			}]
		}]
	},{
		"name": "PR CHG URINE CULTURE, COLONY COUNT",
		"billing_code_type": "CPT",
		"billing_code_type_version": "2026",
		"billing_code": "87086",
		"description": "Urine Culture, Colony Count",
		"allowed_amounts":[{
			"tin": {
				"type": "ein",
				"value": "330449527"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 215.05,
				"providers":[{
					"billed_charge": 253.00,
					"npi": [1528041811]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "710897031"
			},
			"service_code": ["81"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 69.50,
					"npi": [1366479099]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "721561134"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 362.00,
				"providers":[{
					"billed_charge": 362.00,
					"npi": [1265065445]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "840611484"
			},
			"service_code": ["81"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 8.07,
				"providers":[{
					"billed_charge": 75.60,
					"npi": [1659352276]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "870737749"
			},
			"service_code": ["81"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 6.46,
				"providers":[{
					"billed_charge": 28.25,
					"npi": [1720279805]
				}]
			},{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 28.25,
					"npi": [1720279805]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "941156581"
			},
			"service_code": ["81"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 56.00,
				"billing_code_modifier": ["90"],
				"providers":[{
					"billed_charge": 56.00,
					"npi": [1003267196]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "951684089"
			},
			"service_code": ["22"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 10.50,
				"providers":[{
					"billed_charge": 70.00,
					"npi": [1841277704]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "951691313"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 138.94,
				"providers":[{
					"billed_charge": 225.00,
					"npi": [1710065933]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "952589913"
			},
			"service_code": ["22", "23"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"billing_code_modifier": ["26"],
				"providers":[{
					"billed_charge": 17.50,
					"npi": [1447220124]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "953782169"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 73.95,
				"providers":[{
					"billed_charge": 87.00,
					"npi": [1407839921]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "956003843"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 115.72,
					"npi": [1457321317]
				}]
			}]
		}]
	},{
		"name": "PR CHG DETECT AGENT,IMMUN,DIR OBS,INFLUENZA",
		"billing_code_type": "CPT",
		"billing_code_type_version": "2026",
		"billing_code": "87804",
		"description": "Detect Agent,Immun,Dir Obs,Influenza",
		"allowed_amounts":[{
			"tin": {
				"type": "ein",
				"value": "272973102"
			},
			"service_code": ["20"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"billing_code_modifier": ["QW"],
				"providers":[{
					"billed_charge": 61.00,
					"npi": [1174887368,1316438807]
				}]
			},{
				"allowed_amount": 0.00,
				"billing_code_modifier": ["QW", "59"],
				"providers":[{
					"billed_charge": 61.00,
					"npi": [1174887368,1316438807]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "274590874"
			},
			"service_code": ["20"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 16.91,
				"billing_code_modifier": ["QW"],
				"providers":[{
					"billed_charge": 79.00,
					"npi": [1689963845]
				}]
			},{
				"allowed_amount": 16.91,
				"billing_code_modifier": ["59", "QW"],
				"providers":[{
					"billed_charge": 79.00,
					"npi": [1689963845]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "274666463"
			},
			"service_code": ["20"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 16.91,
				"billing_code_modifier": ["QW"],
				"providers":[{
					"billed_charge": 80.00,
					"npi": [1023420916,1811938038]
				}]
			},{
				"allowed_amount": 16.91,
				"billing_code_modifier": ["59", "QW"],
				"providers":[{
					"billed_charge": 45.00,
					"npi": [1235265844]
				}]
			},{
				"allowed_amount": 16.91,
				"billing_code_modifier": ["QW", "59"],
				"providers":[{
					"billed_charge": 45.00,
					"npi": [1023420916,1811938038]
				},{
					"billed_charge": 80.00,
					"npi": [1235265844]
				}]
			},{
				"allowed_amount": 0.00,
				"billing_code_modifier": ["QW"],
				"providers":[{
					"billed_charge": 80.00,
					"npi": [1811938038]
				}]
			},{
				"allowed_amount": 0.00,
				"billing_code_modifier": ["QW", "59"],
				"providers":[{
					"billed_charge": 45.00,
					"npi": [1811938038]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "384120823"
			},
			"service_code": ["20"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 16.91,
				"billing_code_modifier": ["QW"],
				"providers":[{
					"billed_charge": 41.38,
					"npi": [1740309608]
				}]
			},{
				"allowed_amount": 16.91,
				"billing_code_modifier": ["QW", "59"],
				"providers":[{
					"billed_charge": 41.38,
					"npi": [1740309608]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "473999171"
			},
			"service_code": ["20"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 16.91,
				"billing_code_modifier": ["QW"],
				"providers":[{
					"billed_charge": 35.00,
					"npi": [1457388720]
				}]
			},{
				"allowed_amount": 16.91,
				"billing_code_modifier": ["QW", "59"],
				"providers":[{
					"billed_charge": 35.00,
					"npi": [1457388720]
				}]
			},{
				"allowed_amount": 0.00,
				"billing_code_modifier": ["QW"],
				"providers":[{
					"billed_charge": 35.00,
					"npi": [1457388720]
				}]
			},{
				"allowed_amount": 0.00,
				"billing_code_modifier": ["QW", "59"],
				"providers":[{
					"billed_charge": 35.00,
					"npi": [1457388720]
				}]
			}]
		}]
	},{
		"name": "PR CHG SURG PATH,LEVEL IV",
		"billing_code_type": "CPT",
		"billing_code_type_version": "2026",
		"billing_code": "88305",
		"description": "Surg Path,Level IV",
		"allowed_amounts":[{
			"tin": {
				"type": "ein",
				"value": "237262137"
			},
			"service_code": ["22"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"billing_code_modifier": ["26"],
				"providers":[{
					"billed_charge": 196.39,
					"npi": [1396015434]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "237262137"
			},
			"service_code": ["22"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 0.00,
				"billing_code_modifier": ["TC"],
				"providers":[{
					"billed_charge": 450.27,
					"npi": [1891747333]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "300150158"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 690.00,
				"providers":[{
					"billed_charge": 1380.00,
					"npi": [1164482477]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "330766564"
			},
			"service_code": ["81"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 87.60,
				"billing_code_modifier": ["TC"],
				"providers":[{
					"billed_charge": 215.00,
					"npi": [1649232182]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "621637129"
			},
			"service_code": ["81"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 204.00,
					"npi": [1467433292]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "840611484"
			},
			"service_code": ["81"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 186.90,
					"npi": [1740262880]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "870737749"
			},
			"service_code": ["11", "21", "22"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 37.45,
				"billing_code_modifier": ["26"],
				"providers":[{
					"billed_charge": 139.93,
					"npi": [1053723833]
				}]
			},{
				"allowed_amount": 37.68,
				"billing_code_modifier": ["26"],
				"providers":[{
					"billed_charge": 139.93,
					"npi": [1053723833]
				}]
			},{
				"allowed_amount": 59.92,
				"billing_code_modifier": ["26"],
				"providers":[{
					"billed_charge": 279.86,
					"npi": [1548580756]
				}]
			},{
				"allowed_amount": 62.78,
				"providers":[{
					"billed_charge": 284.48,
					"npi": [1548580756,1811260169]
				}]
			},{
				"allowed_amount": 63.53,
				"providers":[{
					"billed_charge": 284.48,
					"npi": [1811260169]
				}]
			},{
				"allowed_amount": 78.47,
				"providers":[{
					"billed_charge": 284.48,
					"npi": [1053723833]
				}]
			},{
				"allowed_amount": 79.41,
				"providers":[{
					"billed_charge": 284.48,
					"npi": [1053723833]
				}]
			},{
				"allowed_amount": 89.88,
				"billing_code_modifier": ["26"],
				"providers":[{
					"billed_charge": 419.79,
					"npi": [1811260169]
				}]
			},{
				"allowed_amount": 112.35,
				"billing_code_modifier": ["26"],
				"providers":[{
					"billed_charge": 419.79,
					"npi": [1053723833]
				}]
			},{
				"allowed_amount": 125.55,
				"providers":[{
					"billed_charge": 568.96,
					"npi": [1548580756,1811260169]
				}]
			},{
				"allowed_amount": 127.06,
				"providers":[{
					"billed_charge": 568.96,
					"npi": [1548580756,1811260169]
				}]
			},{
				"allowed_amount": 156.94,
				"providers":[{
					"billed_charge": 568.96,
					"npi": [1053723833]
				}]
			},{
				"allowed_amount": 188.33,
				"providers":[{
					"billed_charge": 853.44,
					"npi": [1548580756,1811260169]
				}]
			},{
				"allowed_amount": 209.72,
				"billing_code_modifier": ["26"],
				"providers":[{
					"billed_charge": 979.51,
					"npi": [1548580756]
				}]
			},{
				"allowed_amount": 313.88,
				"providers":[{
					"billed_charge": 1422.40,
					"npi": [1548580756]
				}]
			},{
				"allowed_amount": 149.80,
				"billing_code_modifier": ["26"],
				"providers":[{
					"billed_charge": 699.65,
					"npi": [1548580756]
				}]
			},{
				"allowed_amount": 251.10,
				"providers":[{
					"billed_charge": 1137.92,
					"npi": [1548580756]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "951684089"
			},
			"service_code": ["22"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 35.64,
				"providers":[{
					"billed_charge": 254.59,
					"npi": [1841233780]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "951684089"
			},
			"service_code": ["22"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 71.29,
				"providers":[{
					"billed_charge": 509.18,
					"npi": [1700829199]
				}]
			},{
				"allowed_amount": 76.38,
				"providers":[{
					"billed_charge": 509.18,
					"npi": [1700829199]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "951684089"
			},
			"service_code": ["22"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 38.19,
				"providers":[{
					"billed_charge": 254.59,
					"npi": [1841277704]
				}]
			},{
				"allowed_amount": 71.29,
				"providers":[{
					"billed_charge": 509.18,
					"npi": [1841277704]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "951684089"
			},
			"service_code": ["22"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 76.38,
				"providers":[{
					"billed_charge": 509.18,
					"npi": [1659359446]
				}]
			},{
				"allowed_amount": 114.57,
				"providers":[{
					"billed_charge": 763.77,
					"npi": [1659359446]
				}]
			},{
				"allowed_amount": 152.75,
				"providers":[{
					"billed_charge": 1018.36,
					"npi": [1659359446]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "951691313"
			},
			"service_code": ["21", "22"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 59.92,
				"billing_code_modifier": ["26"],
				"providers":[{
					"billed_charge": 132.00,
					"npi": [1326210527]
				}]
			},{
				"allowed_amount": 119.84,
				"billing_code_modifier": ["26"],
				"providers":[{
					"billed_charge": 264.00,
					"npi": [1326210527]
				}]
			},{
				"allowed_amount": 419.44,
				"billing_code_modifier": ["26"],
				"providers":[{
					"billed_charge": 924.00,
					"npi": [1003202813]
				}]
			},{
				"allowed_amount": 838.88,
				"billing_code_modifier": ["26"],
				"providers":[{
					"billed_charge": 1848.00,
					"npi": [1396816054]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "952589913"
			},
			"service_code": ["21", "22"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"billing_code_modifier": ["26"],
				"providers":[{
					"billed_charge": 220.00,
					"npi": [1023009834]
				},{
					"billed_charge": 660.00,
					"npi": [1023009834]
				},{
					"billed_charge": 880.00,
					"npi": [1447220124,1619947330]
				}]
			},{
				"allowed_amount": 165.00,
				"billing_code_modifier": ["26"],
				"providers":[{
					"billed_charge": 220.00,
					"npi": [1023009834,1235491143,1447220124,1619947330]
				}]
			},{
				"allowed_amount": 330.00,
				"billing_code_modifier": ["26"],
				"providers":[{
					"billed_charge": 440.00,
					"npi": [1023009834,1619947330]
				}]
			},{
				"allowed_amount": 495.00,
				"billing_code_modifier": ["26"],
				"providers":[{
					"billed_charge": 660.00,
					"npi": [1023009834,1447220124]
				}]
			},{
				"allowed_amount": 660.00,
				"billing_code_modifier": ["26"],
				"providers":[{
					"billed_charge": 880.00,
					"npi": [1023009834]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "954457756"
			},
			"service_code": ["21", "22"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 70.04,
				"billing_code_modifier": ["26"],
				"providers":[{
					"billed_charge": 136.00,
					"npi": [1316984388]
				}]
			},{
				"allowed_amount": 79.47,
				"billing_code_modifier": ["26"],
				"providers":[{
					"billed_charge": 136.00,
					"npi": [1003254558]
				}]
			},{
				"allowed_amount": 0.00,
				"billing_code_modifier": ["26"],
				"providers":[{
					"billed_charge": 136.00,
					"npi": [1982848461]
				}]
			},{
				"allowed_amount": 136.00,
				"billing_code_modifier": ["26"],
				"providers":[{
					"billed_charge": 136.00,
					"npi": [1003254558]
				}]
			}]
		}]
	},{
		"name": "PR CHG IMHISTOCHEM/CYTCHM INIT ANTIBODY STAIN PROCEDURE",
		"billing_code_type": "CPT",
		"billing_code_type_version": "2026",
		"billing_code": "88342",
		"description": "Imhistochem/Cytchm Init Antibody Stain Procedure",
		"allowed_amounts":[{
			"tin": {
				"type": "ein",
				"value": "474903308"
			},
			"service_code": ["81"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 200.00,
				"providers":[{
					"billed_charge": 200.00,
					"npi": [1740733708]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "840611484"
			},
			"service_code": ["81"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 276.15,
					"npi": [1740262880]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "870737749"
			},
			"service_code": ["11", "22"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 28.02,
				"billing_code_modifier": ["26"],
				"providers":[{
					"billed_charge": 129.43,
					"npi": [1548580756]
				}]
			},{
				"allowed_amount": 35.02,
				"billing_code_modifier": ["26"],
				"providers":[{
					"billed_charge": 129.43,
					"npi": [1053723833]
				}]
			},{
				"allowed_amount": 84.05,
				"billing_code_modifier": ["26"],
				"providers":[{
					"billed_charge": 388.29,
					"npi": [1548580756]
				}]
			},{
				"allowed_amount": 100.59,
				"providers":[{
					"billed_charge": 344.34,
					"npi": [1811260169]
				}]
			},{
				"allowed_amount": 125.74,
				"providers":[{
					"billed_charge": 344.34,
					"npi": [1053723833]
				}]
			},{
				"allowed_amount": 102.10,
				"providers":[{
					"billed_charge": 344.34,
					"npi": [1811260169]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "951691313"
			},
			"service_code": ["21"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 56.03,
				"billing_code_modifier": ["26"],
				"providers":[{
					"billed_charge": 123.00,
					"npi": [1326210527]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "952589913"
			},
			"service_code": ["21", "22"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 135.00,
				"billing_code_modifier": ["26"],
				"providers":[{
					"billed_charge": 180.00,
					"npi": [1235491143]
				}]
			},{
				"allowed_amount": 135.00,
				"billing_code_modifier": ["26", "XU"],
				"providers":[{
					"billed_charge": 180.00,
					"npi": [1023009834]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "954457756"
			},
			"service_code": ["22"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 49.00,
				"billing_code_modifier": ["26"],
				"providers":[{
					"billed_charge": 49.00,
					"npi": [1003254558]
				}]
			}]
		}]
	},{
		"name": "PR IMMUNIZ ADMIN,1 SINGLE/COMB VAC/TOXOID",
		"billing_code_type": "CPT",
		"billing_code_type_version": "2026",
		"billing_code": "90471",
		"description": "Immuniz Admin,1 Single/Comb Vac/Toxoid",
		"allowed_amounts":[{
			"tin": {
				"type": "ein",
				"value": "330648902"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 32.00,
					"npi": [1629158589]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "461246570"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 115.59,
				"providers":[{
					"billed_charge": 238.00,
					"npi": [1679816201]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "870737748"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 22.79,
				"providers":[{
					"billed_charge": 56.28,
					"npi": [1083758403,1295761765,1376196097,1467683920,1659990471,1710292248,1780652420,1871572156,1881705192,1902337801,1972716918,1992140396]
				}]
			},{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 56.28,
					"npi": [1083758403,1366949729,1538511266]
				}]
			},{
				"allowed_amount": 25.20,
				"providers":[{
					"billed_charge": 56.28,
					"npi": [1255884375]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "870737749"
			},
			"service_code": ["11", "20"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 22.79,
				"providers":[{
					"billed_charge": 56.28,
					"npi": [1083949739,1093787244,1194837138,1215243092,1316189723,1366079931,1407951338,1467006148,1790232122,1912208836]
				}]
			},{
				"allowed_amount": 25.20,
				"providers":[{
					"billed_charge": 56.28,
					"npi": [1164763173]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "951691313"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 80.00,
					"npi": [1144726936,1356502520,1356570758,1609281450,1740316405,1952490807]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "956003843"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 275.78,
					"npi": [1376513754,1457321317]
				}]
			}]
		}]
	},{
		"name": "PR SPEECH/HEARING THERAPY, INDIVIDUAL",
		"billing_code_type": "CPT",
		"billing_code_type_version": "2026",
		"billing_code": "92507",
		"description": "Speech/Hearing Therapy, Individual",
		"allowed_amounts":[{
			"tin": {
				"type": "ein",
				"value": "821821291"
			},
			"service_code": ["11", "02"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 65.54,
				"billing_code_modifier": ["GN"],
				"providers":[{
					"billed_charge": 120.00,
					"npi": [1205317658,1679363535,1679959662,1710362363,1841742129]
				}]
			},{
				"allowed_amount": 66.92,
				"billing_code_modifier": ["GN"],
				"providers":[{
					"billed_charge": 120.00,
					"npi": [1710362363,1841742129]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "830523882"
			},
			"service_code": ["10", "12", "02"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 73.73,
				"billing_code_modifier": ["GN"],
				"providers":[{
					"billed_charge": 130.00,
					"npi": [1386210672,1396577243,1821149600,1902624562]
				}]
			},{
				"allowed_amount": 73.73,
				"billing_code_modifier": ["GN", "95"],
				"providers":[{
					"billed_charge": 130.00,
					"npi": [1386210672,1396577243]
				}]
			},{
				"allowed_amount": 75.29,
				"billing_code_modifier": ["GN"],
				"providers":[{
					"billed_charge": 130.00,
					"npi": [1396577243,1821149600,1902624562]
				}]
			},{
				"allowed_amount": 75.29,
				"billing_code_modifier": ["GN", "95"],
				"providers":[{
					"billed_charge": 130.00,
					"npi": [1386210672,1396577243]
				}]
			}]
		}]
	},{
		"name": "PR ELECTROCARDIOGRAM, TRACING",
		"billing_code_type": "CPT",
		"billing_code_type_version": "2026",
		"billing_code": "93005",
		"description": "Electrocardiogram, Tracing",
		"allowed_amounts":[{
			"tin": {
				"type": "ein",
				"value": "330294751"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 8.17,
				"providers":[{
					"billed_charge": 400.87,
					"npi": [1073553756]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "330449527"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 752.25,
				"providers":[{
					"billed_charge": 885.00,
					"npi": [1528041811]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "330599494"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 312.00,
				"providers":[{
					"billed_charge": 390.00,
					"npi": [1184722779]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "461246570"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 165.98,
				"providers":[{
					"billed_charge": 1011.00,
					"npi": [1679816201]
				},{
					"billed_charge": 919.00,
					"npi": [1679816201]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "611677183"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 42.03,
					"npi": [1104480912]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "870737749"
			},
			"service_code": ["11", "20"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 7.12,
				"providers":[{
					"billed_charge": 42.03,
					"npi": [1548248511]
				}]
			},{
				"allowed_amount": 8.17,
				"providers":[{
					"billed_charge": 42.03,
					"npi": [1962503805]
				}]
			},{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 42.03,
					"npi": [1366079931,1548248511,1558361907,1639170475,1689093684]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "940760193"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 192.09,
				"providers":[{
					"billed_charge": 1278.00,
					"npi": [1932197258]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "942761692"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 171.66,
				"providers":[{
					"billed_charge": 575.00,
					"npi": [1356389878]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "951684089"
			},
			"service_code": ["22"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 58.02,
				"providers":[{
					"billed_charge": 414.41,
					"npi": [1841233780]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "951684089"
			},
			"service_code": ["22", "23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 62.16,
				"billing_code_modifier": ["59"],
				"providers":[{
					"billed_charge": 414.41,
					"npi": [1841277704]
				}]
			},{
				"allowed_amount": 207.21,
				"providers":[{
					"billed_charge": 414.41,
					"npi": [1841277704]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "951684089"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 207.21,
				"providers":[{
					"billed_charge": 414.41,
					"npi": [ ]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "952367304"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 752.25,
				"providers":[{
					"billed_charge": 885.00,
					"npi": [1396728630]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "953782169"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 752.25,
				"billing_code_modifier": ["76"],
				"providers":[{
					"billed_charge": 885.00,
					"npi": [1407839921]
				}]
			},{
				"allowed_amount": 752.25,
				"providers":[{
					"billed_charge": 885.00,
					"npi": [1407839921]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "956003843"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 0.00,
				"billing_code_modifier": ["XE"],
				"providers":[{
					"billed_charge": 401.24,
					"npi": [1457321317]
				}]
			},{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 401.24,
					"npi": [1376513754,1457321317]
				},{
					"billed_charge": 802.48,
					"npi": [1457321317]
				}]
			}]
		}]
	},{
		"name": "PR ELECTROCARDIOGRAM REPORT",
		"billing_code_type": "CPT",
		"billing_code_type_version": "2026",
		"billing_code": "93010",
		"description": "Electrocardiogram Report",
		"allowed_amounts":[{
			"tin": {
				"type": "ein",
				"value": "201064117"
			},
			"service_code": ["23"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 15.52,
				"billing_code_modifier": ["59"],
				"providers":[{
					"billed_charge": 58.00,
					"npi": [1326138892]
				}]
			},{
				"allowed_amount": 15.52,
				"providers":[{
					"billed_charge": 58.00,
					"npi": [1144433731,1174865349,1356091383,1366903486,1376571505,1538780127,1578591517,1669403911,1669714523,1962430231,1972531838]
				}]
			},{
				"allowed_amount": 16.27,
				"billing_code_modifier": ["76"],
				"providers":[{
					"billed_charge": 58.00,
					"npi": [1144433731]
				}]
			},{
				"allowed_amount": 16.27,
				"providers":[{
					"billed_charge": 58.00,
					"npi": [1144433731,1326076290,1356091383,1366903486,1538780127,1669403911,1801425244,1831696194,1932100062,1962439505]
				}]
			},{
				"allowed_amount": 32.55,
				"billing_code_modifier": ["76"],
				"providers":[{
					"billed_charge": 116.00,
					"npi": [1669403911]
				}]
			},{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 58.00,
					"npi": [1326076290]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "202693042"
			},
			"service_code": ["21", "22"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 8.15,
				"billing_code_modifier": ["76"],
				"providers":[{
					"billed_charge": 28.00,
					"npi": [1245326883,1962418889]
				}]
			},{
				"allowed_amount": 8.15,
				"providers":[{
					"billed_charge": 28.00,
					"npi": [1245326883,1437543733,1881789196,1962418889]
				}]
			},{
				"allowed_amount": 8.83,
				"providers":[{
					"billed_charge": 28.00,
					"npi": [1366720211,1437543733,1467429191,1962418889]
				}]
			},{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 28.00,
					"npi": [1467429191]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "237064656"
			},
			"service_code": ["21", "22"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 8.97,
				"providers":[{
					"billed_charge": 35.00,
					"npi": [1346470408,1831292796]
				}]
			},{
				"allowed_amount": 9.71,
				"providers":[{
					"billed_charge": 35.00,
					"npi": [1841322195]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "320595156"
			},
			"service_code": ["23"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 9.78,
				"providers":[{
					"billed_charge": 27.00,
					"npi": [1083293443,1609175173]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "330669356"
			},
			"service_code": ["21", "22"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 9.78,
				"providers":[{
					"billed_charge": 36.00,
					"npi": [1285694349,1376511188,1790753770,1952308124, ]
				}]
			},{
				"allowed_amount": 19.56,
				"billing_code_modifier": ["76"],
				"providers":[{
					"billed_charge": 72.00,
					"npi": [1376511188]
				}]
			},{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 36.00,
					"npi": [1790753770]
				}]
			},{
				"allowed_amount": 10.60,
				"providers":[{
					"billed_charge": 36.00,
					"npi": [1154399632,1699925545]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "462690851"
			},
			"service_code": ["23"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 15.52,
				"billing_code_modifier": ["76"],
				"providers":[{
					"billed_charge": 60.00,
					"npi": [1306932330]
				}]
			},{
				"allowed_amount": 15.52,
				"billing_code_modifier": ["59"],
				"providers":[{
					"billed_charge": 60.00,
					"npi": [1073581914,1942230297]
				}]
			},{
				"allowed_amount": 15.52,
				"providers":[{
					"billed_charge": 60.00,
					"npi": [1073581914,1093749665,1174835359,1184244014,1265460893,1306932330,1366486243,1609829142,1679927859,1700870912,1770534067,1942230297,1952668931]
				}]
			},{
				"allowed_amount": 16.27,
				"billing_code_modifier": ["GC"],
				"providers":[{
					"billed_charge": 60.00,
					"npi": [1679927859]
				}]
			},{
				"allowed_amount": 16.27,
				"providers":[{
					"billed_charge": 60.00,
					"npi": [1043259310,1073581914,1114196862,1164614012,1265460893,1306932330,1316039977,1609829142,1679927859,1700870912,1770534067,1942230297]
				}]
			},{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 60.00,
					"npi": [1174835359]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "464467849"
			},
			"service_code": ["23"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 15.52,
				"providers":[{
					"billed_charge": 61.00,
					"npi": [1487795811,1649692716]
				}]
			},{
				"allowed_amount": 0.00,
				"billing_code_modifier": ["SA"],
				"providers":[{
					"billed_charge": 61.00,
					"npi": [1316168479]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "811641281"
			},
			"service_code": ["23"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 15.52,
				"providers":[{
					"billed_charge": 66.00,
					"npi": [1134538929]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "870737749"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 8.15,
				"providers":[{
					"billed_charge": 30.52,
					"npi": [1609300045]
				}]
			},{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 30.52,
					"npi": [1104017169,1285883074,1326003823,1427369271,1609300045,1700084464]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "871451688"
			},
			"service_code": ["23"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 15.52,
				"billing_code_modifier": ["59"],
				"providers":[{
					"billed_charge": 88.32,
					"npi": [1124698139]
				}]
			},{
				"allowed_amount": 16.27,
				"billing_code_modifier": ["59"],
				"providers":[{
					"billed_charge": 93.61,
					"npi": [1124698139]
				}]
			},{
				"allowed_amount": 16.27,
				"providers":[{
					"billed_charge": 93.61,
					"npi": [1922216795]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "900950252"
			},
			"service_code": ["23"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 15.52,
				"billing_code_modifier": ["76"],
				"providers":[{
					"billed_charge": 51.00,
					"npi": [1639794134,1750312351,1952454449]
				}]
			},{
				"allowed_amount": 15.52,
				"billing_code_modifier": ["GC"],
				"providers":[{
					"billed_charge": 51.00,
					"npi": [1376757732]
				}]
			},{
				"allowed_amount": 15.52,
				"providers":[{
					"billed_charge": 51.00,
					"npi": [1093745812,1275572372,1326138892,1326252156,1326371055,1376757732,1376833038,1447511894,1578910840,1639794134,1750312351,1770578411,1861947012,1891242442,1952454449]
				}]
			},{
				"allowed_amount": 16.27,
				"billing_code_modifier": ["76"],
				"providers":[{
					"billed_charge": 51.00,
					"npi": [1760828958]
				}]
			},{
				"allowed_amount": 16.27,
				"billing_code_modifier": ["GC"],
				"providers":[{
					"billed_charge": 51.00,
					"npi": [1326252156,1750312351]
				}]
			},{
				"allowed_amount": 16.27,
				"providers":[{
					"billed_charge": 51.00,
					"npi": [1063644193,1326252156,1376757732,1619293495,1760828958,1770578411,1811436413,1861947012]
				}]
			},{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 51.00,
					"npi": [1376833038]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "921846432"
			},
			"service_code": ["23"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 15.52,
				"providers":[{
					"billed_charge": 57.00,
					"npi": [1881893519]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "940760193"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 46.00,
				"providers":[{
					"billed_charge": 46.00,
					"npi": [1932197258]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "942494000"
			},
			"service_code": ["23"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 15.52,
				"providers":[{
					"billed_charge": 67.00,
					"npi": [1124204383]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "943391400"
			},
			"service_code": ["23"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 16.91,
				"providers":[{
					"billed_charge": 75.00,
					"npi": [1356572267]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "951691313"
			},
			"service_code": ["11", "21", "23"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 13.04,
				"providers":[{
					"billed_charge": 29.00,
					"npi": [1114277787,1265797591,1356514624,1518036821,1538279484,1831423250,1962439141]
				}]
			},{
				"allowed_amount": 14.39,
				"providers":[{
					"billed_charge": 29.00,
					"npi": [1114277787,1265797591,1538279484,1831423250]
				}]
			}]
		}]
	},{
		"name": "PR RHYTHM ECG, REPORT",
		"billing_code_type": "CPT",
		"billing_code_type_version": "2026",
		"billing_code": "93042",
		"description": "Rhythm Ecg, Report",
		"allowed_amounts":[{
			"tin": {
				"type": "ein",
				"value": "201064117"
			},
			"service_code": ["23"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 12.78,
				"providers":[{
					"billed_charge": 48.00,
					"npi": [1326076290,1356091383,1831696194]
				}]
			},{
				"allowed_amount": 13.53,
				"providers":[{
					"billed_charge": 48.00,
					"npi": [1033372453,1326138892,1366903486,1669403911,1972531838]
				}]
			},{
				"allowed_amount": 0.00,
				"billing_code_modifier": ["59"],
				"providers":[{
					"billed_charge": 48.00,
					"npi": [1962439505]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "462690851"
			},
			"service_code": ["23"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 12.78,
				"billing_code_modifier": ["76"],
				"providers":[{
					"billed_charge": 49.00,
					"npi": [1700870912]
				}]
			},{
				"allowed_amount": 12.78,
				"billing_code_modifier": ["59"],
				"providers":[{
					"billed_charge": 49.00,
					"npi": [1942230297]
				}]
			},{
				"allowed_amount": 12.78,
				"providers":[{
					"billed_charge": 49.00,
					"npi": [1073581914,1093749665,1164614012,1184244014,1265460893,1306932330,1316039977,1326276072,1609829142,1679927859,1700870912,1942230297]
				}]
			},{
				"allowed_amount": 13.53,
				"billing_code_modifier": ["59"],
				"providers":[{
					"billed_charge": 49.00,
					"npi": [1164614012]
				}]
			},{
				"allowed_amount": 13.53,
				"providers":[{
					"billed_charge": 49.00,
					"npi": [1265460893,1306932330,1366486243,1609829142,1679927859,1770534067,1942230297]
				}]
			},{
				"allowed_amount": 25.57,
				"billing_code_modifier": ["76"],
				"providers":[{
					"billed_charge": 98.00,
					"npi": [1700870912]
				}]
			},{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 49.00,
					"npi": [1306932330]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "940760193"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 56.00,
					"npi": [1932197258]
				}]
			}]
		}]
	},{
		"name": "PR DOPPLER COLOR FLOW VELOCITY MAP",
		"billing_code_type": "CPT",
		"billing_code_type_version": "2026",
		"billing_code": "93325",
		"description": "Doppler Color Flow Velocity Map",
		"allowed_amounts":[{
			"tin": {
				"type": "ein",
				"value": "237064656"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 28.41,
				"providers":[{
					"billed_charge": 335.00,
					"npi": [1346470408]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "821953999"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 49.18,
				"billing_code_modifier": ["59"],
				"providers":[{
					"billed_charge": 123.00,
					"npi": [1306074893]
				}]
			},{
				"allowed_amount": 49.18,
				"providers":[{
					"billed_charge": 123.00,
					"npi": [1306074893]
				}]
			},{
				"allowed_amount": 51.58,
				"providers":[{
					"billed_charge": 123.00,
					"npi": [1306074893]
				}]
			},{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 123.00,
					"npi": [1306074893]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "870737749"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 98.70,
					"npi": [1891867412]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "951691313"
			},
			"service_code": ["21"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 5.88,
				"billing_code_modifier": ["26"],
				"providers":[{
					"billed_charge": 11.00,
					"npi": [1760707210]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "951965700"
			},
			"service_code": ["21"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 61.99,
				"billing_code_modifier": ["26"],
				"providers":[{
					"billed_charge": 124.00,
					"npi": [1407350929]
				}]
			}]
		}]
	},{
		"name": "PR CHG RADIOLOGIC EXAM CHEST SINGLE VIEW",
		"billing_code_type": "CPT",
		"billing_code_type_version": "2026",
		"billing_code": "71045",
		"description": "Radiologic Exam Chest Single View",
		"allowed_amounts":[{
			"tin": {
				"type": "ein",
				"value": "237064656"
			},
			"service_code": ["22"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 9.76,
				"billing_code_modifier": ["26"],
				"providers":[{
					"billed_charge": 40.00,
					"npi": [1730150392]
				}]
			},{
				"allowed_amount": 0.00,
				"billing_code_modifier": ["26"],
				"providers":[{
					"billed_charge": 40.00,
					"npi": [1730150392]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "271332228"
			},
			"service_code": ["21", "23"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 10.52,
				"billing_code_modifier": ["26"],
				"providers":[{
					"billed_charge": 26.00,
					"npi": [1245491208]
				}]
			},{
				"allowed_amount": 10.64,
				"billing_code_modifier": ["26"],
				"providers":[{
					"billed_charge": 26.00,
					"npi": [1003201336,1215279682,1316181225,1316332471]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "273009437"
			},
			"service_code": ["20"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 51.20,
				"providers":[{
					"billed_charge": 106.00,
					"npi": [1245200674]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "320595156"
			},
			"service_code": ["23"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 10.64,
				"billing_code_modifier": ["26"],
				"providers":[{
					"billed_charge": 30.00,
					"npi": [1609175173]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "330449527"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 569.50,
				"providers":[{
					"billed_charge": 670.00,
					"npi": [1528041811]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "461246570"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 183.69,
				"providers":[{
					"billed_charge": 898.00,
					"npi": [1679816201]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "462690851"
			},
			"service_code": ["23"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 15.52,
				"billing_code_modifier": ["26"],
				"providers":[{
					"billed_charge": 60.00,
					"npi": [1316039977]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "473394746"
			},
			"service_code": ["21", "22", "23"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 8.77,
				"billing_code_modifier": ["26"],
				"providers":[{
					"billed_charge": 28.00,
					"npi": [1720187800]
				}]
			},{
				"allowed_amount": 8.77,
				"billing_code_modifier": ["26", "77"],
				"providers":[{
					"billed_charge": 28.00,
					"npi": [1396249009]
				}]
			},{
				"allowed_amount": 8.87,
				"billing_code_modifier": ["26"],
				"providers":[{
					"billed_charge": 28.00,
					"npi": [1831333913]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "611677183"
			},
			"service_code": ["21"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"billing_code_modifier": ["26"],
				"providers":[{
					"billed_charge": 47.40,
					"npi": [1497708622]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "900454894"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 444.54,
				"providers":[{
					"billed_charge": 590.00,
					"npi": [1891938122]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "900950252"
			},
			"service_code": ["23"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 15.52,
				"billing_code_modifier": ["26"],
				"providers":[{
					"billed_charge": 46.00,
					"npi": [1619293495]
				}]
			},{
				"allowed_amount": 16.21,
				"billing_code_modifier": ["26"],
				"providers":[{
					"billed_charge": 46.00,
					"npi": [1093745812,1326371055,1619293495,1639794134,1750312351]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "934163254"
			},
			"service_code": ["23"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 15.84,
				"billing_code_modifier": ["26"],
				"providers":[{
					"billed_charge": 25.26,
					"npi": [1265457485]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "934627934"
			},
			"service_code": ["23"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 16.44,
				"billing_code_modifier": ["26"],
				"providers":[{
					"billed_charge": 27.00,
					"npi": [1124349980]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "941105628"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 206.63,
				"providers":[{
					"billed_charge": 700.00,
					"npi": [1558080861]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "942761692"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 190.00,
				"providers":[{
					"billed_charge": 1054.00,
					"npi": [1356389878]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "951684089"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 151.49,
				"billing_code_modifier": ["TC"],
				"providers":[{
					"billed_charge": 302.98,
					"npi": [1841277704]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "951684089"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 151.49,
				"providers":[{
					"billed_charge": 302.98,
					"npi": [ ]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "951750445"
			},
			"service_code": ["23"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 15.52,
				"billing_code_modifier": ["26"],
				"providers":[{
					"billed_charge": 41.00,
					"npi": [1326196304,1518034529]
				}]
			},{
				"allowed_amount": 16.21,
				"billing_code_modifier": ["26"],
				"providers":[{
					"billed_charge": 37.00,
					"npi": [1326196304]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "952367304"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 569.50,
				"providers":[{
					"billed_charge": 670.00,
					"npi": [1396728630]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "952639291"
			},
			"service_code": ["23"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 16.21,
				"billing_code_modifier": ["26", "Q6"],
				"providers":[{
					"billed_charge": 33.00,
					"npi": [1205323219]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "952669833"
			},
			"service_code": ["23"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 18.85,
				"billing_code_modifier": ["26"],
				"providers":[{
					"billed_charge": 29.00,
					"npi": [1497723969,1780952176]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "953782169"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 569.50,
				"providers":[{
					"billed_charge": 670.00,
					"npi": [1407839921]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "956003843"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 160.37,
				"billing_code_modifier": ["FY"],
				"providers":[{
					"billed_charge": 458.56,
					"npi": [1457321317]
				}]
			},{
				"allowed_amount": 179.01,
				"providers":[{
					"billed_charge": 458.56,
					"npi": [1376513754]
				}]
			},{
				"allowed_amount": 0.00,
				"billing_code_modifier": ["FY"],
				"providers":[{
					"billed_charge": 458.56,
					"npi": [1457321317]
				}]
			},{
				"allowed_amount": 161.10,
				"billing_code_modifier": ["FY"],
				"providers":[{
					"billed_charge": 458.56,
					"npi": [1457321317]
				}]
			}]
		}]
	},{
		"name": "PR CHG RADIOLOGIC EXAM CHEST 2 VIEWS",
		"billing_code_type": "CPT",
		"billing_code_type_version": "2026",
		"billing_code": "71046",
		"description": "Radiologic Exam Chest 2 Views",
		"allowed_amounts":[{
			"tin": {
				"type": "ein",
				"value": "208785833"
			},
			"service_code": ["20"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 64.00,
				"providers":[{
					"billed_charge": 85.00,
					"npi": [1275601478]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "237064656"
			},
			"service_code": ["23"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 11.64,
				"billing_code_modifier": ["26"],
				"providers":[{
					"billed_charge": 55.00,
					"npi": [1720540743]
				}]
			},{
				"allowed_amount": 11.66,
				"billing_code_modifier": ["26"],
				"providers":[{
					"billed_charge": 55.00,
					"npi": [1508878752]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "274590874"
			},
			"service_code": ["20"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 64.00,
				"providers":[{
					"billed_charge": 155.00,
					"npi": [1689963845]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "320595156"
			},
			"service_code": ["23"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 12.70,
				"billing_code_modifier": ["26"],
				"providers":[{
					"billed_charge": 36.00,
					"npi": [1265402648,1609175173]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "330294751"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 37.95,
				"billing_code_modifier": ["TC"],
				"providers":[{
					"billed_charge": 416.12,
					"npi": [1073553756]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "330599494"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 618.40,
				"providers":[{
					"billed_charge": 773.00,
					"npi": [1184722779]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "471497384"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 28.36,
				"billing_code_modifier": ["26"],
				"providers":[{
					"billed_charge": 28.36,
					"npi": [1598169419]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "473394746"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 110.00,
					"npi": [1154599314]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "473999171"
			},
			"service_code": ["20"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 67.17,
				"providers":[{
					"billed_charge": 140.00,
					"npi": [1457388720]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "611677183"
			},
			"service_code": ["22"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 12.72,
				"billing_code_modifier": ["26"],
				"providers":[{
					"billed_charge": 56.60,
					"npi": [1932598737]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "870737748"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 26.77,
				"billing_code_modifier": ["TC"],
				"providers":[{
					"billed_charge": 137.55,
					"npi": [1134133242,1679502884]
				}]
			},{
				"allowed_amount": 27.35,
				"billing_code_modifier": ["TC"],
				"providers":[{
					"billed_charge": 137.55,
					"npi": [1548468598,1588682561,1679502884]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "871023018"
			},
			"service_code": ["23"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 18.89,
				"billing_code_modifier": ["26"],
				"providers":[{
					"billed_charge": 183.00,
					"npi": [1578615936]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "876000525"
			},
			"service_code": ["22"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 256.50,
					"npi": [1588656870]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "941105628"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 226.13,
				"providers":[{
					"billed_charge": 740.00,
					"npi": [1558080861]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "941105628"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 740.00,
					"npi": [1013062769]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "951684089"
			},
			"service_code": ["22"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 146.19,
				"providers":[{
					"billed_charge": 974.59,
					"npi": [1841233780]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "951750445"
			},
			"service_code": ["23"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 18.76,
				"billing_code_modifier": ["26"],
				"providers":[{
					"billed_charge": 49.00,
					"npi": [1518034529]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "952226406"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 199.04,
				"providers":[{
					"billed_charge": 804.00,
					"npi": [1689608150]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "952669833"
			},
			"service_code": ["23"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 22.75,
				"billing_code_modifier": ["26"],
				"providers":[{
					"billed_charge": 35.00,
					"npi": [1063448785,1558335695,1760695761]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "953154530"
			},
			"service_code": ["23"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 18.69,
				"billing_code_modifier": ["26"],
				"providers":[{
					"billed_charge": 108.00,
					"npi": [1740463652]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "953154530"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 156.66,
				"billing_code_modifier": ["TC"],
				"providers":[{
					"billed_charge": 491.00,
					"npi": [1962444059]
				}]
			}]
		}]
	},{
		"name": "PR HOT OR COLD PACKS THERAPY",
		"billing_code_type": "CPT",
		"billing_code_type_version": "2026",
		"billing_code": "97010",
		"description": "Hot or Cold Packs Therapy",
		"allowed_amounts":[{
			"tin": {
				"type": "ein",
				"value": "205067091"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"billing_code_modifier": ["GO"],
				"providers":[{
					"billed_charge": 30.00,
					"npi": [1104609197]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "261911128"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"billing_code_modifier": ["GP"],
				"providers":[{
					"billed_charge": 53.00,
					"npi": [1659722320,1750559431,1912684325]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "455334364"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 10.00,
					"npi": [1659448694]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "813597392"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"billing_code_modifier": ["GP"],
				"providers":[{
					"billed_charge": 30.00,
					"npi": [1073312492,1760194302,1790334316,1902505910]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "825387674"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"billing_code_modifier": ["GP"],
				"providers":[{
					"billed_charge": 25.00,
					"npi": [1679921084]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "953579976"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"billing_code_modifier": ["GO"],
				"providers":[{
					"billed_charge": 17.00,
					"npi": [1073387924,1417755372,1578548657]
				}]
			},{
				"allowed_amount": 0.00,
				"billing_code_modifier": ["GP"],
				"providers":[{
					"billed_charge": 17.00,
					"npi": [1013793462,1073161261,1134630189,1255009189,1295234433,1356102354,1538868112,1548574379,1659180636,1669190062,1669645081,1770151672,1912551433,1932821162,1982237772]
				}]
			}]
		}]
	},{
		"name": "PR ELECTRIC STIMULATION THERAPY",
		"billing_code_type": "CPT",
		"billing_code_type_version": "2026",
		"billing_code": "97014",
		"description": "Electric Stimulation Therapy",
		"allowed_amounts":[{
			"tin": {
				"type": "ein",
				"value": "205067091"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"billing_code_modifier": ["GP"],
				"providers":[{
					"billed_charge": 19.46,
					"npi": [1063026243,1083662456,1093564684,1144798281,1154330496,1265557334,1740375062,1932713823]
				}]
			},{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 19.46,
					"npi": [1063026243,1154330496,1265557334,1932713823]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "261911128"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"billing_code_modifier": ["GP"],
				"providers":[{
					"billed_charge": 47.00,
					"npi": [1245341957,1255316733,1396560199,1588484042]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "330142586"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"billing_code_modifier": ["G9"],
				"providers":[{
					"billed_charge": 28.00,
					"npi": [1043930183]
				}]
			},{
				"allowed_amount": 0.00,
				"billing_code_modifier": ["GP"],
				"providers":[{
					"billed_charge": 28.00,
					"npi": [1043930183,1376091561,1538624200]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "953579976"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"billing_code_modifier": ["GP"],
				"providers":[{
					"billed_charge": 36.00,
					"npi": [1073161261,1134630189,1194326413,1255009189,1497357008,1659180636,1770151672,1790516953,1912551433,1982237772]
				}]
			}]
		}]
	},{
		"name": "PR PARAFFIN BATH THERAPY",
		"billing_code_type": "CPT",
		"billing_code_type_version": "2026",
		"billing_code": "97018",
		"description": "Paraffin Bath Therapy",
		"allowed_amounts":[{
			"tin": {
				"type": "ein",
				"value": "330142586"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 5.44,
				"billing_code_modifier": ["GP"],
				"providers":[{
					"billed_charge": 28.00,
					"npi": [1043930183]
				}]
			},{
				"allowed_amount": 5.44,
				"billing_code_modifier": ["G9", "59"],
				"providers":[{
					"billed_charge": 28.00,
					"npi": [1043930183]
				}]
			},{
				"allowed_amount": 5.44,
				"billing_code_modifier": ["GP", "59"],
				"providers":[{
					"billed_charge": 28.00,
					"npi": [1043930183]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "953579976"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"billing_code_modifier": ["GO", "59"],
				"providers":[{
					"billed_charge": 36.00,
					"npi": [1073387924,1417755372,1578548657]
				}]
			}]
		}]
	},{
		"name": "PR THERAPEUTIC EXERCISES",
		"billing_code_type": "CPT",
		"billing_code_type_version": "2026",
		"billing_code": "97110",
		"description": "Therapeutic Exercises",
		"allowed_amounts":[{
			"tin": {
				"type": "ein",
				"value": "113831153"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"billing_code_modifier": ["GP"],
				"providers":[{
					"billed_charge": 0.00,
					"npi": [1841356664]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "205067091"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"billing_code_modifier": ["GO"],
				"providers":[{
					"billed_charge": 46.32,
					"npi": [1104609197]
				}]
			},{
				"allowed_amount": 0.00,
				"billing_code_modifier": ["GP"],
				"providers":[{
					"billed_charge": 46.32,
					"npi": [1063026243,1073329504,1083662456,1093564684,1144798281,1154330496,1265557334,1740375062,1932713823]
				},{
					"billed_charge": 92.64,
					"npi": [1083662456,1093564684,1265557334,1932713823]
				}]
			},{
				"allowed_amount": 30.00,
				"billing_code_modifier": ["GP"],
				"providers":[{
					"billed_charge": 92.64,
					"npi": [1083662456,1154330496,1265557334]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "260019293"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"billing_code_modifier": ["GP"],
				"providers":[{
					"billed_charge": 88.00,
					"npi": [1194827816,1801220504]
				}]
			},{
				"allowed_amount": 30.00,
				"billing_code_modifier": ["GP"],
				"providers":[{
					"billed_charge": 88.00,
					"npi": [1194827816,1801220504]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "261911128"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"billing_code_modifier": ["GP"],
				"providers":[{
					"billed_charge": 178.00,
					"npi": [1750559431]
				},{
					"billed_charge": 89.00,
					"npi": [1245341957,1255316733,1396560199,1518468487,1588484042,1750559431,1760561005,1891486619]
				}]
			},{
				"allowed_amount": 30.00,
				"billing_code_modifier": ["GP"],
				"providers":[{
					"billed_charge": 178.00,
					"npi": [1750559431,1891486619,1912684325]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "262193316"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 31.71,
				"billing_code_modifier": ["GP"],
				"providers":[{
					"billed_charge": 60.00,
					"npi": [1609916873]
				}]
			},{
				"allowed_amount": 31.71,
				"providers":[{
					"billed_charge": 60.00,
					"npi": [1609916873]
				}]
			},{
				"allowed_amount": 31.71,
				"billing_code_modifier": ["GP", "59"],
				"providers":[{
					"billed_charge": 60.00,
					"npi": [1780154237]
				}]
			},{
				"allowed_amount": 32.04,
				"providers":[{
					"billed_charge": 60.00,
					"npi": [1609916873]
				}]
			},{
				"allowed_amount": 32.04,
				"billing_code_modifier": ["GP", "59"],
				"providers":[{
					"billed_charge": 60.00,
					"npi": [1609916873]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "274418547"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 25.37,
				"billing_code_modifier": ["GP"],
				"providers":[{
					"billed_charge": 50.00,
					"npi": [1710193602]
				}]
			},{
				"allowed_amount": 0.00,
				"billing_code_modifier": ["GP"],
				"providers":[{
					"billed_charge": 50.00,
					"npi": [1710193602]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "330142586"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 25.37,
				"billing_code_modifier": ["GP"],
				"providers":[{
					"billed_charge": 45.00,
					"npi": [1043930183]
				}]
			},{
				"allowed_amount": 25.63,
				"billing_code_modifier": ["GP"],
				"providers":[{
					"billed_charge": 45.00,
					"npi": [1043930183,1376091561]
				}]
			},{
				"allowed_amount": 50.74,
				"billing_code_modifier": ["GP"],
				"providers":[{
					"billed_charge": 90.00,
					"npi": [1043930183,1538624200,1639568017,1740747484]
				}]
			},{
				"allowed_amount": 51.26,
				"billing_code_modifier": ["GP"],
				"providers":[{
					"billed_charge": 90.00,
					"npi": [1043930183,1538624200]
				}]
			},{
				"allowed_amount": 0.00,
				"billing_code_modifier": ["G9"],
				"providers":[{
					"billed_charge": 45.00,
					"npi": [1043930183]
				}]
			},{
				"allowed_amount": 0.00,
				"billing_code_modifier": ["GP"],
				"providers":[{
					"billed_charge": 90.00,
					"npi": [1376091561]
				}]
			},{
				"allowed_amount": 76.10,
				"billing_code_modifier": ["GP"],
				"providers":[{
					"billed_charge": 135.00,
					"npi": [1043930183]
				}]
			},{
				"allowed_amount": 76.90,
				"billing_code_modifier": ["GP"],
				"providers":[{
					"billed_charge": 135.00,
					"npi": [1043930183]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "330264878"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"billing_code_modifier": ["GP"],
				"providers":[{
					"billed_charge": 83.11,
					"npi": [1376127795,1396529244,1619604824]
				},{
					"billed_charge": 170.00,
					"npi": [1396529244]
				},{
					"billed_charge": 85.00,
					"npi": [1396529244,1932176369]
				}]
			},{
				"allowed_amount": 30.00,
				"billing_code_modifier": ["GP"],
				"providers":[{
					"billed_charge": 166.22,
					"npi": [1376127795]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "330493339"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 55.00,
					"npi": [1174313373]
				},{
					"billed_charge": 85.00,
					"npi": [1366997702]
				}]
			},{
				"allowed_amount": 30.00,
				"billing_code_modifier": ["GP"],
				"providers":[{
					"billed_charge": 85.00,
					"npi": [1558070599]
				}]
			},{
				"allowed_amount": 30.00,
				"providers":[{
					"billed_charge": 85.00,
					"npi": [1366997702,1558070599,1932671526]
				}]
			},{
				"allowed_amount": 85.00,
				"providers":[{
					"billed_charge": 80.00,
					"npi": [1174313373]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "330905392"
			},
			"service_code": ["62"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 35.24,
				"billing_code_modifier": ["GP"],
				"providers":[{
					"billed_charge": 45.00,
					"npi": [1871597286]
				}]
			},{
				"allowed_amount": 70.49,
				"billing_code_modifier": ["GP"],
				"providers":[{
					"billed_charge": 90.00,
					"npi": [1871597286]
				}]
			},{
				"allowed_amount": 104.64,
				"billing_code_modifier": ["GP"],
				"providers":[{
					"billed_charge": 135.00,
					"npi": [1871597286]
				}]
			},{
				"allowed_amount": 105.73,
				"billing_code_modifier": ["GP"],
				"providers":[{
					"billed_charge": 135.00,
					"npi": [1871597286]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "455334364"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 105.00,
					"npi": [1659448694]
				},{
					"billed_charge": 35.00,
					"npi": [1659448694]
				}]
			},{
				"allowed_amount": 30.00,
				"providers":[{
					"billed_charge": 105.00,
					"npi": [1659448694]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "463294528"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 28.54,
				"billing_code_modifier": ["GP"],
				"providers":[{
					"billed_charge": 60.00,
					"npi": [1285248906,1780815852]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "464813023"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 114.16,
				"providers":[{
					"billed_charge": 200.00,
					"npi": [1366226474]
				}]
			},{
				"allowed_amount": 115.34,
				"providers":[{
					"billed_charge": 200.00,
					"npi": [1366226474]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "813597392"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 25.37,
				"billing_code_modifier": ["GP"],
				"providers":[{
					"billed_charge": 50.00,
					"npi": [1760194302,1790334316,1902505910]
				}]
			},{
				"allowed_amount": 25.63,
				"billing_code_modifier": ["GP"],
				"providers":[{
					"billed_charge": 50.00,
					"npi": [1902505910]
				}]
			},{
				"allowed_amount": 50.74,
				"billing_code_modifier": ["GP"],
				"providers":[{
					"billed_charge": 100.00,
					"npi": [1790334316]
				}]
			},{
				"allowed_amount": 51.26,
				"billing_code_modifier": ["GP"],
				"providers":[{
					"billed_charge": 100.00,
					"npi": [1790334316]
				}]
			},{
				"allowed_amount": 76.10,
				"billing_code_modifier": ["GP"],
				"providers":[{
					"billed_charge": 150.00,
					"npi": [1790334316]
				}]
			},{
				"allowed_amount": 76.90,
				"billing_code_modifier": ["GP"],
				"providers":[{
					"billed_charge": 150.00,
					"npi": [1790334316]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "825160608"
			},
			"service_code": ["12"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"billing_code_modifier": ["GP"],
				"providers":[{
					"billed_charge": 140.00,
					"npi": [1174685549]
				},{
					"billed_charge": 70.00,
					"npi": [1306412283,1417408618,1437868106,1982812111]
				}]
			},{
				"allowed_amount": 115.00,
				"billing_code_modifier": ["GP"],
				"providers":[{
					"billed_charge": 140.00,
					"npi": [1174685549]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "825387674"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 25.37,
				"billing_code_modifier": ["GP"],
				"providers":[{
					"billed_charge": 80.00,
					"npi": [1205557071,1295361921,1467059634,1679921084,1689039349,1750003471]
				}]
			},{
				"allowed_amount": 25.63,
				"billing_code_modifier": ["GP"],
				"providers":[{
					"billed_charge": 80.00,
					"npi": [1396320487,1467059634,1679921084,1689039349]
				}]
			},{
				"allowed_amount": 50.74,
				"billing_code_modifier": ["GP"],
				"providers":[{
					"billed_charge": 160.00,
					"npi": [1467059634,1861140337]
				}]
			},{
				"allowed_amount": 51.26,
				"billing_code_modifier": ["GP"],
				"providers":[{
					"billed_charge": 160.00,
					"npi": [1467059634,1861140337]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "951684089"
			},
			"service_code": ["22"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 24.19,
				"billing_code_modifier": ["GP"],
				"providers":[{
					"billed_charge": 172.80,
					"npi": [1841233780]
				}]
			},{
				"allowed_amount": 48.38,
				"billing_code_modifier": ["GP"],
				"providers":[{
					"billed_charge": 345.60,
					"npi": [1841233780]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "953579976"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"billing_code_modifier": ["GO"],
				"providers":[{
					"billed_charge": 68.00,
					"npi": [1417755372,1578548657]
				},{
					"billed_charge": 80.00,
					"npi": [1073387924,1417755372]
				}]
			},{
				"allowed_amount": 0.00,
				"billing_code_modifier": ["GP"],
				"providers":[{
					"billed_charge": 136.00,
					"npi": [1194326413,1669190062]
				},{
					"billed_charge": 160.00,
					"npi": [1295234433,1366019010]
				},{
					"billed_charge": 68.00,
					"npi": [1073161261,1104657444,1134630189,1164179362,1366019010,1497357008,1538868112,1659180636,1669190062,1669645081,1770151672,1790516953,1912551433,1932821162,1942983770]
				},{
					"billed_charge": 80.00,
					"npi": [1104657444,1164179362,1194326413,1295234433,1356102354,1366019010,1497357008,1538868112,1548574379,1659180636,1669190062,1669645081,1700151529,1770151672,1790516953,1912551433,1932213188,1932821162]
				}]
			},{
				"allowed_amount": 250.00,
				"billing_code_modifier": ["GP"],
				"providers":[{
					"billed_charge": 136.00,
					"npi": [1295234433]
				}]
			},{
				"allowed_amount": 30.00,
				"billing_code_modifier": ["GP"],
				"providers":[{
					"billed_charge": 136.00,
					"npi": [1104657444,1194326413,1295234433,1366019010,1669645081,1972852044]
				},{
					"billed_charge": 160.00,
					"npi": [1295234433,1932821162]
				},{
					"billed_charge": 204.00,
					"npi": [1295234433]
				},{
					"billed_charge": 68.00,
					"npi": [1013793462,1104657444,1669190062,1669645081]
				}]
			},{
				"allowed_amount": 80.00,
				"billing_code_modifier": ["GO"],
				"providers":[{
					"billed_charge": 68.00,
					"npi": [1073387924]
				}]
			}]
		}]
	},{
		"name": "PR NEUROMUSC REEDUCAT,1+ AREAS, EA 15 MIN",
		"billing_code_type": "CPT",
		"billing_code_type_version": "2026",
		"billing_code": "97112",
		"description": "Neuromusc Reeducat,1+ Areas, Ea 15 Min",
		"allowed_amounts":[{
			"tin": {
				"type": "ein",
				"value": "113831153"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"billing_code_modifier": ["GP"],
				"providers":[{
					"billed_charge": 0.00,
					"npi": [1841356664]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "205067091"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"billing_code_modifier": ["GO"],
				"providers":[{
					"billed_charge": 48.91,
					"npi": [1104609197]
				}]
			},{
				"allowed_amount": 0.00,
				"billing_code_modifier": ["GP"],
				"providers":[{
					"billed_charge": 48.91,
					"npi": [1063026243,1073329504,1083662456,1093564684,1144798281,1154330496,1265557334,1932713823]
				},{
					"billed_charge": 97.82,
					"npi": [1063026243,1073329504,1083662456,1093564684,1144798281,1154330496,1265557334,1740375062]
				}]
			},{
				"allowed_amount": 30.00,
				"billing_code_modifier": ["GP"],
				"providers":[{
					"billed_charge": 97.82,
					"npi": [1093564684,1144798281,1154330496,1265557334,1932713823]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "260019293"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"billing_code_modifier": ["GP"],
				"providers":[{
					"billed_charge": 47.00,
					"npi": [1194827816,1801220504]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "261911128"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"billing_code_modifier": ["GP"],
				"providers":[{
					"billed_charge": 164.00,
					"npi": [1750559431,1891486619,1912684325]
				},{
					"billed_charge": 82.00,
					"npi": [1245341957,1255316733,1396560199,1518468487,1588484042,1659722320,1750559431,1760561005,1780212092]
				}]
			},{
				"allowed_amount": 30.00,
				"billing_code_modifier": ["GP"],
				"providers":[{
					"billed_charge": 164.00,
					"npi": [1750559431]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "262193316"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 35.30,
				"providers":[{
					"billed_charge": 60.00,
					"npi": [1609916873]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "330142586"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 28.24,
				"billing_code_modifier": ["GP"],
				"providers":[{
					"billed_charge": 45.00,
					"npi": [1043930183,1639568017]
				}]
			},{
				"allowed_amount": 0.00,
				"billing_code_modifier": ["GP"],
				"providers":[{
					"billed_charge": 45.00,
					"npi": [1376091561]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "330264878"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"billing_code_modifier": ["GP"],
				"providers":[{
					"billed_charge": 90.00,
					"npi": [1376127795]
				},{
					"billed_charge": 92.00,
					"npi": [1376127795,1396529244]
				}]
			},{
				"allowed_amount": 0.00,
				"billing_code_modifier": ["GP", "59"],
				"providers":[{
					"billed_charge": 184.00,
					"npi": [1033821251]
				},{
					"billed_charge": 90.00,
					"npi": [1376127795,1396529244]
				}]
			},{
				"allowed_amount": 30.00,
				"billing_code_modifier": ["GP"],
				"providers":[{
					"billed_charge": 180.00,
					"npi": [1033821251,1376127795]
				},{
					"billed_charge": 184.00,
					"npi": [1376127795]
				}]
			},{
				"allowed_amount": 30.00,
				"billing_code_modifier": ["GP", "59"],
				"providers":[{
					"billed_charge": 180.00,
					"npi": [1376127795]
				},{
					"billed_charge": 184.00,
					"npi": [1376127795,1396529244]
				},{
					"billed_charge": 92.00,
					"npi": [1932176369]
				}]
			},{
				"allowed_amount": 50.00,
				"billing_code_modifier": ["GP", "59"],
				"providers":[{
					"billed_charge": 180.00,
					"npi": [1376127795]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "330905392"
			},
			"service_code": ["62"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 38.83,
				"billing_code_modifier": ["GP"],
				"providers":[{
					"billed_charge": 45.00,
					"npi": [1871597286]
				}]
			},{
				"allowed_amount": 39.78,
				"billing_code_modifier": ["GP"],
				"providers":[{
					"billed_charge": 45.00,
					"npi": [1871597286]
				}]
			},{
				"allowed_amount": 79.55,
				"billing_code_modifier": ["GP"],
				"providers":[{
					"billed_charge": 90.00,
					"npi": [1871597286]
				}]
			},{
				"allowed_amount": 119.33,
				"billing_code_modifier": ["GP"],
				"providers":[{
					"billed_charge": 135.00,
					"npi": [1871597286]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "463294528"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 31.77,
				"billing_code_modifier": ["GP"],
				"providers":[{
					"billed_charge": 65.00,
					"npi": [1285248906,1780815852]
				}]
			},{
				"allowed_amount": 63.54,
				"billing_code_modifier": ["GP"],
				"providers":[{
					"billed_charge": 130.00,
					"npi": [1780815852]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "813597392"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 28.24,
				"billing_code_modifier": ["GP"],
				"providers":[{
					"billed_charge": 50.00,
					"npi": [1760194302,1790334316,1902505910]
				}]
			},{
				"allowed_amount": 28.93,
				"billing_code_modifier": ["GP"],
				"providers":[{
					"billed_charge": 50.00,
					"npi": [1760194302,1902505910]
				}]
			},{
				"allowed_amount": 56.48,
				"billing_code_modifier": ["GP"],
				"providers":[{
					"billed_charge": 100.00,
					"npi": [1760194302]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "825160608"
			},
			"service_code": ["12"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"billing_code_modifier": ["GP"],
				"providers":[{
					"billed_charge": 160.00,
					"npi": [1174685549]
				},{
					"billed_charge": 80.00,
					"npi": [1174685549,1417408618]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "825387674"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 28.24,
				"billing_code_modifier": ["GP"],
				"providers":[{
					"billed_charge": 60.00,
					"npi": [1295361921,1467059634,1679921084,1689039349,1750003471]
				}]
			},{
				"allowed_amount": 28.93,
				"billing_code_modifier": ["GP"],
				"providers":[{
					"billed_charge": 60.00,
					"npi": [1679921084,1689039349]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "870737749"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 72.32,
				"billing_code_modifier": ["GP"],
				"providers":[{
					"billed_charge": 228.24,
					"npi": [1033801493]
				}]
			},{
				"allowed_amount": 35.30,
				"billing_code_modifier": ["GP"],
				"providers":[{
					"billed_charge": 114.12,
					"npi": [1033801493]
				}]
			},{
				"allowed_amount": 70.60,
				"billing_code_modifier": ["GP"],
				"providers":[{
					"billed_charge": 228.24,
					"npi": [1033801493]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "953579976"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"billing_code_modifier": ["GO"],
				"providers":[{
					"billed_charge": 65.00,
					"npi": [1073387924,1417755372]
				},{
					"billed_charge": 90.00,
					"npi": [1417755372]
				}]
			},{
				"allowed_amount": 0.00,
				"billing_code_modifier": ["GP"],
				"providers":[{
					"billed_charge": 130.00,
					"npi": [1073161261,1295234433,1356102354,1366019010,1497357008,1659180636,1669645081,1770151672,1912551433,1932821162,1972852044,1982237772,1992362024]
				},{
					"billed_charge": 180.00,
					"npi": [1255009189,1356102354,1669645081,1770151672,1932821162]
				},{
					"billed_charge": 270.00,
					"npi": [1366970733,1497357008]
				},{
					"billed_charge": 65.00,
					"npi": [1013793462,1073161261,1104657444,1134630189,1194326413,1366019010,1497357008,1659180636,1669190062,1669645081,1770151672,1932640679,1932821162,1942983770,1982237772]
				},{
					"billed_charge": 90.00,
					"npi": [1104657444,1164179362,1194326413,1295234433,1366019010,1538868112,1659180636,1669190062,1669645081,1700151529,1790516953,1932821162,1972852044,1982237772]
				}]
			},{
				"allowed_amount": 30.00,
				"billing_code_modifier": ["GP"],
				"providers":[{
					"billed_charge": 130.00,
					"npi": [1497357008,1538868112,1669645081,1932821162,1982237772]
				},{
					"billed_charge": 180.00,
					"npi": [1134630189,1194326413,1255009189,1295234433,1497357008,1538868112,1659180636,1669645081,1912551433,1932821162]
				},{
					"billed_charge": 195.00,
					"npi": [1669645081]
				},{
					"billed_charge": 270.00,
					"npi": [1255009189,1770151672,1932213188]
				}]
			},{
				"allowed_amount": 330.00,
				"billing_code_modifier": ["GP"],
				"providers":[{
					"billed_charge": 130.00,
					"npi": [1932821162]
				}]
			},{
				"allowed_amount": 50.00,
				"billing_code_modifier": ["GP"],
				"providers":[{
					"billed_charge": 130.00,
					"npi": [1104657444,1164179362,1790516953]
				}]
			},{
				"allowed_amount": 80.00,
				"billing_code_modifier": ["GO"],
				"providers":[{
					"billed_charge": 130.00,
					"npi": [1417755372]
				},{
					"billed_charge": 180.00,
					"npi": [1073387924]
				}]
			},{
				"allowed_amount": 80.00,
				"billing_code_modifier": ["GP"],
				"providers":[{
					"billed_charge": 130.00,
					"npi": [1942983770]
				},{
					"billed_charge": 180.00,
					"npi": [1164179362]
				}]
			}]
		}]
	},{
		"name": "PR GAIT TRAINING THERAPY",
		"billing_code_type": "CPT",
		"billing_code_type_version": "2026",
		"billing_code": "97116",
		"description": "Gait Training Therapy",
		"allowed_amounts":[{
			"tin": {
				"type": "ein",
				"value": "272973102"
			},
			"service_code": ["20"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"billing_code_modifier": ["GO"],
				"providers":[{
					"billed_charge": 65.00,
					"npi": [1770015901]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "825160608"
			},
			"service_code": ["12"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 115.00,
				"billing_code_modifier": ["GP"],
				"providers":[{
					"billed_charge": 70.00,
					"npi": [1417408618,1437868106]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "951684089"
			},
			"service_code": ["22"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 10.81,
				"billing_code_modifier": ["GP"],
				"providers":[{
					"billed_charge": 77.18,
					"npi": [1841233780]
				}]
			},{
				"allowed_amount": 21.61,
				"billing_code_modifier": ["GP"],
				"providers":[{
					"billed_charge": 154.36,
					"npi": [1841233780]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "953579976"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"billing_code_modifier": ["GP"],
				"providers":[{
					"billed_charge": 54.00,
					"npi": [1669190062]
				}]
			}]
		}]
	},{
		"name": "PR MANUAL THER TECH,1+REGIONS,EA 15 MIN",
		"billing_code_type": "CPT",
		"billing_code_type_version": "2026",
		"billing_code": "97140",
		"description": "Manual Ther Tech,1+Regions,Ea 15 Min",
		"allowed_amounts":[{
			"tin": {
				"type": "ein",
				"value": "205067091"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"billing_code_modifier": ["GO"],
				"providers":[{
					"billed_charge": 54.08,
					"npi": [1104609197]
				}]
			},{
				"allowed_amount": 0.00,
				"billing_code_modifier": ["GP"],
				"providers":[{
					"billed_charge": 54.08,
					"npi": [1063026243,1073329504,1083662456,1093564684,1144798281,1154330496,1265557334,1740375062,1932713823]
				}]
			},{
				"allowed_amount": 30.00,
				"billing_code_modifier": ["GO"],
				"providers":[{
					"billed_charge": 108.16,
					"npi": [1104609197]
				}]
			},{
				"allowed_amount": 30.00,
				"billing_code_modifier": ["GP"],
				"providers":[{
					"billed_charge": 54.08,
					"npi": [1063026243,1144798281,1154330496,1265557334,1932713823]
				},{
					"billed_charge": 108.16,
					"npi": [1154330496,1932713823]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "260019293"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"billing_code_modifier": ["GP"],
				"providers":[{
					"billed_charge": 44.00,
					"npi": [1194827816,1801220504]
				},{
					"billed_charge": 88.00,
					"npi": [1194827816]
				}]
			},{
				"allowed_amount": 0.00,
				"billing_code_modifier": ["GP", "59"],
				"providers":[{
					"billed_charge": 44.00,
					"npi": [1194827816,1801220504]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "261911128"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"billing_code_modifier": ["GP"],
				"providers":[{
					"billed_charge": 168.00,
					"npi": [1750559431,1912684325]
				},{
					"billed_charge": 84.00,
					"npi": [1245341957,1255316733,1396560199,1588484042,1750559431,1760561005,1780212092,1891486619]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "330142586"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 23.91,
				"billing_code_modifier": ["59", "GP"],
				"providers":[{
					"billed_charge": 45.00,
					"npi": [1043930183,1538624200,1639568017,1740747484]
				}]
			},{
				"allowed_amount": 24.44,
				"billing_code_modifier": ["59", "GP"],
				"providers":[{
					"billed_charge": 45.00,
					"npi": [1043930183,1376091561,1538624200]
				}]
			},{
				"allowed_amount": 47.82,
				"billing_code_modifier": ["59", "GP"],
				"providers":[{
					"billed_charge": 90.00,
					"npi": [1043930183]
				}]
			},{
				"allowed_amount": 0.00,
				"billing_code_modifier": ["59", "GP"],
				"providers":[{
					"billed_charge": 45.00,
					"npi": [1376091561]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "330264878"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"billing_code_modifier": ["GP", "59"],
				"providers":[{
					"billed_charge": 85.00,
					"npi": [1376127795]
				},{
					"billed_charge": 87.00,
					"npi": [1396529244,1932176369]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "330493339"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"billing_code_modifier": ["59"],
				"providers":[{
					"billed_charge": 45.00,
					"npi": [1366997702]
				}]
			},{
				"allowed_amount": 85.00,
				"providers":[{
					"billed_charge": 90.00,
					"npi": [1174313373]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "455334364"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 40.00,
					"npi": [1659448694]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "463294528"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 54.99,
				"billing_code_modifier": ["GP"],
				"providers":[{
					"billed_charge": 130.00,
					"npi": [1285248906]
				}]
			},{
				"allowed_amount": 53.80,
				"billing_code_modifier": ["GP"],
				"providers":[{
					"billed_charge": 130.00,
					"npi": [1780815852]
				}]
			},{
				"allowed_amount": 53.80,
				"billing_code_modifier": ["GP", "59"],
				"providers":[{
					"billed_charge": 130.00,
					"npi": [1285248906,1780815852]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "813597392"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 23.91,
				"billing_code_modifier": ["GP"],
				"providers":[{
					"billed_charge": 50.00,
					"npi": [1760194302,1902505910]
				}]
			},{
				"allowed_amount": 24.44,
				"billing_code_modifier": ["GP"],
				"providers":[{
					"billed_charge": 50.00,
					"npi": [1073312492,1760194302,1902505910]
				}]
			},{
				"allowed_amount": 47.82,
				"billing_code_modifier": ["GP"],
				"providers":[{
					"billed_charge": 100.00,
					"npi": [1760194302,1902505910]
				}]
			},{
				"allowed_amount": 48.88,
				"billing_code_modifier": ["GP"],
				"providers":[{
					"billed_charge": 100.00,
					"npi": [1073312492,1902505910]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "825160608"
			},
			"service_code": ["12"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"billing_code_modifier": ["GP", "59"],
				"providers":[{
					"billed_charge": 70.00,
					"npi": [1417408618,1437868106]
				}]
			},{
				"allowed_amount": 115.00,
				"billing_code_modifier": ["GP", "59"],
				"providers":[{
					"billed_charge": 210.00,
					"npi": [1306412283]
				},{
					"billed_charge": 70.00,
					"npi": [1174685549,1982812111]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "825387674"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 23.91,
				"billing_code_modifier": ["GP"],
				"providers":[{
					"billed_charge": 75.00,
					"npi": [1205557071,1295361921,1467059634,1679921084,1689039349,1750003471,1861140337]
				}]
			},{
				"allowed_amount": 24.44,
				"billing_code_modifier": ["GP"],
				"providers":[{
					"billed_charge": 75.00,
					"npi": [1396320487,1467059634,1679921084,1689039349,1861140337]
				}]
			},{
				"allowed_amount": 47.82,
				"billing_code_modifier": ["GP"],
				"providers":[{
					"billed_charge": 150.00,
					"npi": [1750003471]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "870737749"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 29.89,
				"billing_code_modifier": ["GP"],
				"providers":[{
					"billed_charge": 89.73,
					"npi": [1033801493]
				}]
			},{
				"allowed_amount": 30.55,
				"billing_code_modifier": ["GP"],
				"providers":[{
					"billed_charge": 89.73,
					"npi": [1033801493]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "953579976"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"billing_code_modifier": ["GO"],
				"providers":[{
					"billed_charge": 150.00,
					"npi": [1073387924,1578548657]
				},{
					"billed_charge": 67.00,
					"npi": [1073387924,1417755372,1578548657]
				},{
					"billed_charge": 75.00,
					"npi": [1073387924,1417755372]
				}]
			},{
				"allowed_amount": 0.00,
				"billing_code_modifier": ["GP"],
				"providers":[{
					"billed_charge": 134.00,
					"npi": [1053568196,1073161261,1194326413,1295234433,1669190062]
				},{
					"billed_charge": 150.00,
					"npi": [1194326413,1255009189,1386692622,1497357008,1912551433]
				},{
					"billed_charge": 67.00,
					"npi": [1013793462,1073161261,1104657444,1134630189,1164179362,1295234433,1366019010,1497357008,1538868112,1659180636,1669190062,1669645081,1790516953,1912551433,1932640679,1932821162,1942983770,1972852044,1982237772,1992362024]
				},{
					"billed_charge": 75.00,
					"npi": [1104657444,1134630189,1164179362,1255009189,1295234433,1356102354,1366019010,1497357008,1538868112,1548574379,1659180636,1669190062,1669645081,1700151529,1790516953,1932213188,1932821162,1972852044]
				}]
			},{
				"allowed_amount": 30.00,
				"billing_code_modifier": ["GP"],
				"providers":[{
					"billed_charge": 134.00,
					"npi": [1073161261,1669645081]
				},{
					"billed_charge": 150.00,
					"npi": [1073161261,1194326413]
				}]
			}]
		}]
	},{
		"name": "PR THERAPEUT ACTVITY DIRECT PT CONTACT EACH 15 MIN",
		"billing_code_type": "CPT",
		"billing_code_type_version": "2026",
		"billing_code": "97530",
		"description": "Therapeut Actvity Direct Pt Contact Each 15 Min",
		"allowed_amounts":[{
			"tin": {
				"type": "ein",
				"value": "113831153"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"billing_code_modifier": ["GP"],
				"providers":[{
					"billed_charge": 0.00,
					"npi": [1841356664]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "205067091"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"billing_code_modifier": ["GP"],
				"providers":[{
					"billed_charge": 48.95,
					"npi": [1083662456,1093564684,1144798281,1154330496]
				}]
			},{
				"allowed_amount": 0.00,
				"billing_code_modifier": ["GO", "59"],
				"providers":[{
					"billed_charge": 48.95,
					"npi": [1104609197]
				}]
			},{
				"allowed_amount": 0.00,
				"billing_code_modifier": ["GP", "59"],
				"providers":[{
					"billed_charge": 48.95,
					"npi": [1063026243,1073329504,1144798281,1154330496,1265557334,1932713823]
				},{
					"billed_charge": 97.90,
					"npi": [1063026243,1154330496,1265557334]
				}]
			},{
				"allowed_amount": 30.00,
				"billing_code_modifier": ["GP"],
				"providers":[{
					"billed_charge": 146.85,
					"npi": [1144798281]
				},{
					"billed_charge": 97.90,
					"npi": [1265557334]
				}]
			},{
				"allowed_amount": 30.00,
				"billing_code_modifier": ["GP", "59"],
				"providers":[{
					"billed_charge": 97.90,
					"npi": [1063026243,1073329504,1093564684,1144798281,1154330496,1740375062,1932713823]
				}]
			},{
				"allowed_amount": 55.00,
				"billing_code_modifier": ["GP"],
				"providers":[{
					"billed_charge": 48.95,
					"npi": [1154330496]
				}]
			},{
				"allowed_amount": 55.00,
				"billing_code_modifier": ["GP", "59"],
				"providers":[{
					"billed_charge": 97.90,
					"npi": [1083662456]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "261911128"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"billing_code_modifier": ["GP"],
				"providers":[{
					"billed_charge": 90.00,
					"npi": [1255316733,1659722320,1750559431,1760561005,1780212092,1891486619]
				}]
			},{
				"allowed_amount": 0.00,
				"billing_code_modifier": ["59", "GP"],
				"providers":[{
					"billed_charge": 90.00,
					"npi": [1245341957,1588484042]
				}]
			},{
				"allowed_amount": 20.00,
				"billing_code_modifier": ["59", "GP"],
				"providers":[{
					"billed_charge": 90.00,
					"npi": [1245341957]
				}]
			},{
				"allowed_amount": 30.00,
				"billing_code_modifier": ["GP"],
				"providers":[{
					"billed_charge": 180.00,
					"npi": [1750559431]
				},{
					"billed_charge": 90.00,
					"npi": [1245341957]
				}]
			},{
				"allowed_amount": 30.00,
				"billing_code_modifier": ["59", "GP"],
				"providers":[{
					"billed_charge": 90.00,
					"npi": [1245341957,1255316733,1396560199,1518468487]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "262193316"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 78.58,
				"providers":[{
					"billed_charge": 120.00,
					"npi": [1609916873]
				}]
			},{
				"allowed_amount": 78.58,
				"billing_code_modifier": ["GP", "59"],
				"providers":[{
					"billed_charge": 120.00,
					"npi": [1609916873]
				}]
			},{
				"allowed_amount": 77.40,
				"billing_code_modifier": ["GP"],
				"providers":[{
					"billed_charge": 120.00,
					"npi": [1609916873]
				}]
			},{
				"allowed_amount": 77.40,
				"providers":[{
					"billed_charge": 120.00,
					"npi": [1609916873]
				}]
			},{
				"allowed_amount": 77.40,
				"billing_code_modifier": ["GP", "59"],
				"providers":[{
					"billed_charge": 120.00,
					"npi": [1780154237]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "330142586"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 30.96,
				"billing_code_modifier": ["GP"],
				"providers":[{
					"billed_charge": 45.00,
					"npi": [1043930183,1538624200,1740747484]
				}]
			},{
				"allowed_amount": 31.43,
				"billing_code_modifier": ["GP"],
				"providers":[{
					"billed_charge": 45.00,
					"npi": [1538624200]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "330264878"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"billing_code_modifier": ["GP"],
				"providers":[{
					"billed_charge": 174.00,
					"npi": [1033821251,1376127795]
				}]
			},{
				"allowed_amount": 0.00,
				"billing_code_modifier": ["GP", "59"],
				"providers":[{
					"billed_charge": 170.00,
					"npi": [1033821251]
				},{
					"billed_charge": 85.00,
					"npi": [1376127795,1619604824]
				}]
			},{
				"allowed_amount": 0.00,
				"billing_code_modifier": ["59", "GP"],
				"providers":[{
					"billed_charge": 170.00,
					"npi": [1376127795]
				},{
					"billed_charge": 174.00,
					"npi": [1376127795]
				},{
					"billed_charge": 85.00,
					"npi": [1376127795]
				}]
			},{
				"allowed_amount": 30.00,
				"billing_code_modifier": ["59", "GP"],
				"providers":[{
					"billed_charge": 170.00,
					"npi": [1376127795,1396529244]
				},{
					"billed_charge": 174.00,
					"npi": [1376127795]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "330905392"
			},
			"service_code": ["62"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 85.14,
				"billing_code_modifier": ["GP"],
				"providers":[{
					"billed_charge": 125.72,
					"npi": [1871597286]
				}]
			},{
				"allowed_amount": 86.44,
				"billing_code_modifier": ["GP"],
				"providers":[{
					"billed_charge": 125.72,
					"npi": [1871597286]
				}]
			},{
				"allowed_amount": 127.71,
				"billing_code_modifier": ["GP"],
				"providers":[{
					"billed_charge": 188.58,
					"npi": [1871597286]
				}]
			},{
				"allowed_amount": 129.66,
				"billing_code_modifier": ["GP"],
				"providers":[{
					"billed_charge": 188.58,
					"npi": [1871597286]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "455334364"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 165.00,
					"npi": [1659448694]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "464813023"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 34.83,
				"providers":[{
					"billed_charge": 60.00,
					"npi": [1902475700]
				}]
			},{
				"allowed_amount": 70.72,
				"providers":[{
					"billed_charge": 120.00,
					"npi": [1316608102]
				}]
			},{
				"allowed_amount": 104.49,
				"billing_code_modifier": ["GP"],
				"providers":[{
					"billed_charge": 180.00,
					"npi": [1194316430,1770926271]
				}]
			},{
				"allowed_amount": 104.49,
				"providers":[{
					"billed_charge": 180.00,
					"npi": [1083224356,1205501160,1336922160,1568281491,1922874866]
				}]
			},{
				"allowed_amount": 106.08,
				"billing_code_modifier": ["GP"],
				"providers":[{
					"billed_charge": 180.00,
					"npi": [1932919461]
				}]
			},{
				"allowed_amount": 139.32,
				"billing_code_modifier": ["GP"],
				"providers":[{
					"billed_charge": 240.00,
					"npi": [1194316430,1316608102,1770926271]
				}]
			},{
				"allowed_amount": 139.32,
				"providers":[{
					"billed_charge": 240.00,
					"npi": [1083224356,1316608102,1336922160,1366226474,1598429821,1740869668,1770926271,1902475700,1922874866]
				}]
			},{
				"allowed_amount": 141.44,
				"billing_code_modifier": ["GP"],
				"providers":[{
					"billed_charge": 240.00,
					"npi": [1194316430,1770926271]
				}]
			},{
				"allowed_amount": 141.44,
				"providers":[{
					"billed_charge": 240.00,
					"npi": [1083224356,1316608102,1336922160,1366226474,1598429821,1902475700,1912797358]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "475556456"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"billing_code_modifier": ["GP", "59"],
				"providers":[{
					"billed_charge": 300.00,
					"npi": [1124886288,1164977419,1609681329]
				}]
			},{
				"allowed_amount": 30.00,
				"billing_code_modifier": ["GP"],
				"providers":[{
					"billed_charge": 400.00,
					"npi": [1124886288,1164977419,1558231415,1609681329]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "813597392"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 30.96,
				"billing_code_modifier": ["GP"],
				"providers":[{
					"billed_charge": 50.00,
					"npi": [1760194302,1790334316]
				}]
			},{
				"allowed_amount": 30.96,
				"billing_code_modifier": ["GP", "59"],
				"providers":[{
					"billed_charge": 50.00,
					"npi": [1760194302,1902505910]
				}]
			},{
				"allowed_amount": 31.43,
				"billing_code_modifier": ["GP"],
				"providers":[{
					"billed_charge": 50.00,
					"npi": [1790334316]
				}]
			},{
				"allowed_amount": 31.43,
				"billing_code_modifier": ["GP", "59"],
				"providers":[{
					"billed_charge": 50.00,
					"npi": [1073312492,1902505910]
				}]
			},{
				"allowed_amount": 61.92,
				"billing_code_modifier": ["GP"],
				"providers":[{
					"billed_charge": 100.00,
					"npi": [1760194302,1790334316,1902505910]
				}]
			},{
				"allowed_amount": 61.92,
				"billing_code_modifier": ["GP", "59"],
				"providers":[{
					"billed_charge": 100.00,
					"npi": [1760194302,1790334316,1902505910]
				}]
			},{
				"allowed_amount": 62.86,
				"billing_code_modifier": ["GP"],
				"providers":[{
					"billed_charge": 100.00,
					"npi": [1790334316]
				}]
			},{
				"allowed_amount": 62.86,
				"billing_code_modifier": ["GP", "59"],
				"providers":[{
					"billed_charge": 100.00,
					"npi": [1073312492,1760194302,1902505910]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "821821291"
			},
			"service_code": ["11", "02"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 61.92,
				"billing_code_modifier": ["GO"],
				"providers":[{
					"billed_charge": 130.00,
					"npi": [1205375607]
				}]
			},{
				"allowed_amount": 92.88,
				"billing_code_modifier": ["GP"],
				"providers":[{
					"billed_charge": 195.00,
					"npi": [1184098683,1932818010]
				}]
			},{
				"allowed_amount": 123.84,
				"billing_code_modifier": ["GO"],
				"providers":[{
					"billed_charge": 260.00,
					"npi": [1205375607,1790438554]
				}]
			},{
				"allowed_amount": 123.84,
				"billing_code_modifier": ["GP"],
				"providers":[{
					"billed_charge": 260.00,
					"npi": [1932818010]
				}]
			},{
				"allowed_amount": 123.84,
				"billing_code_modifier": ["GO", "59"],
				"providers":[{
					"billed_charge": 260.00,
					"npi": [1790438554]
				}]
			},{
				"allowed_amount": 125.73,
				"billing_code_modifier": ["GO"],
				"providers":[{
					"billed_charge": 260.00,
					"npi": [1205375607]
				}]
			},{
				"allowed_amount": 125.73,
				"billing_code_modifier": ["GP"],
				"providers":[{
					"billed_charge": 260.00,
					"npi": [1932818010]
				}]
			},{
				"allowed_amount": 125.73,
				"billing_code_modifier": ["GO", "59"],
				"providers":[{
					"billed_charge": 260.00,
					"npi": [1790438554]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "825160608"
			},
			"service_code": ["12"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"billing_code_modifier": ["GP"],
				"providers":[{
					"billed_charge": 100.00,
					"npi": [1437868106]
				},{
					"billed_charge": 200.00,
					"npi": [1982812111]
				}]
			},{
				"allowed_amount": 0.00,
				"billing_code_modifier": ["GP", "59"],
				"providers":[{
					"billed_charge": 200.00,
					"npi": [1437868106]
				}]
			},{
				"allowed_amount": 115.00,
				"billing_code_modifier": ["GP", "59"],
				"providers":[{
					"billed_charge": 100.00,
					"npi": [1982812111]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "825387674"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 30.96,
				"billing_code_modifier": ["GP"],
				"providers":[{
					"billed_charge": 50.00,
					"npi": [1205557071,1295361921,1467059634,1679921084,1689039349,1750003471,1861140337]
				}]
			},{
				"allowed_amount": 31.43,
				"billing_code_modifier": ["GP"],
				"providers":[{
					"billed_charge": 50.00,
					"npi": [1396320487,1467059634,1679921084,1689039349,1861140337]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "830523882"
			},
			"service_code": ["12"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 139.32,
				"billing_code_modifier": ["GO"],
				"providers":[{
					"billed_charge": 320.00,
					"npi": [1023707767,1407477250]
				}]
			},{
				"allowed_amount": 139.32,
				"billing_code_modifier": ["GO", "59"],
				"providers":[{
					"billed_charge": 320.00,
					"npi": [1407477250,1417258526]
				}]
			},{
				"allowed_amount": 141.44,
				"billing_code_modifier": ["GO"],
				"providers":[{
					"billed_charge": 320.00,
					"npi": [1023707767,1417258526]
				}]
			},{
				"allowed_amount": 141.44,
				"billing_code_modifier": ["GO", "59"],
				"providers":[{
					"billed_charge": 320.00,
					"npi": [1417258526]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "870737749"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 39.29,
				"billing_code_modifier": ["GP"],
				"providers":[{
					"billed_charge": 125.73,
					"npi": [1033801493]
				}]
			},{
				"allowed_amount": 38.70,
				"billing_code_modifier": ["GP"],
				"providers":[{
					"billed_charge": 125.73,
					"npi": [1033801493]
				}]
			},{
				"allowed_amount": 77.40,
				"billing_code_modifier": ["GP"],
				"providers":[{
					"billed_charge": 251.46,
					"npi": [1033801493]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "951684089"
			},
			"service_code": ["22"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 14.11,
				"billing_code_modifier": ["GP"],
				"providers":[{
					"billed_charge": 100.80,
					"npi": [1841233780]
				}]
			},{
				"allowed_amount": 28.22,
				"billing_code_modifier": ["GP"],
				"providers":[{
					"billed_charge": 201.60,
					"npi": [1841233780]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "951684089"
			},
			"service_code": ["22"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 14.11,
				"billing_code_modifier": ["GP"],
				"providers":[{
					"billed_charge": 100.80,
					"npi": [1700829199]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "953579976"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"billing_code_modifier": ["GO"],
				"providers":[{
					"billed_charge": 68.00,
					"npi": [1073387924,1417755372]
				},{
					"billed_charge": 98.00,
					"npi": [1073387924]
				}]
			},{
				"allowed_amount": 0.00,
				"billing_code_modifier": ["GP"],
				"providers":[{
					"billed_charge": 136.00,
					"npi": [1073161261,1669190062,1770151672]
				},{
					"billed_charge": 196.00,
					"npi": [1538868112,1548574379,1700151529,1770151672,1790516953]
				},{
					"billed_charge": 204.00,
					"npi": [1073161261,1992362024]
				},{
					"billed_charge": 68.00,
					"npi": [1013793462,1053568196,1073161261,1104657444,1134630189,1164179362,1194326413,1366019010,1497357008,1538868112,1659180636,1669190062,1669645081,1790516953,1912551433,1932821162,1942983770,1972852044,1982237772]
				},{
					"billed_charge": 98.00,
					"npi": [1073161261,1134630189,1164179362,1194326413,1255009189,1295234433,1356102354,1366970733,1386692622,1497357008,1538868112,1659180636,1669645081,1700151529,1770151672,1912551433,1932213188,1932821162,1972852044]
				}]
			},{
				"allowed_amount": 20.00,
				"billing_code_modifier": ["GP"],
				"providers":[{
					"billed_charge": 136.00,
					"npi": [1669190062]
				}]
			},{
				"allowed_amount": 30.00,
				"billing_code_modifier": ["GP"],
				"providers":[{
					"billed_charge": 136.00,
					"npi": [1073161261,1104657444,1497357008,1659180636,1669190062,1669645081,1770151672,1912551433,1932821162,1982237772]
				},{
					"billed_charge": 196.00,
					"npi": [1104657444,1295234433,1356102354,1366019010,1669645081,1700151529,1770151672,1790516953,1932821162,1972852044,1982237772]
				},{
					"billed_charge": 204.00,
					"npi": [1356102354]
				},{
					"billed_charge": 68.00,
					"npi": [1073161261,1497357008,1669190062,1669645081,1932640679,1932821162]
				},{
					"billed_charge": 98.00,
					"npi": [1164179362,1366019010,1669645081,1790516953]
				}]
			},{
				"allowed_amount": 360.00,
				"billing_code_modifier": ["GP"],
				"providers":[{
					"billed_charge": 196.00,
					"npi": [1669190062]
				}]
			},{
				"allowed_amount": 50.00,
				"billing_code_modifier": ["GO"],
				"providers":[{
					"billed_charge": 68.00,
					"npi": [1417755372]
				}]
			},{
				"allowed_amount": 80.00,
				"billing_code_modifier": ["GO"],
				"providers":[{
					"billed_charge": 136.00,
					"npi": [1578548657]
				},{
					"billed_charge": 196.00,
					"npi": [1578548657]
				},{
					"billed_charge": 98.00,
					"npi": [1417755372]
				}]
			}]
		}]
	},{
		"name": "PR ADL TRAINING EACH 15 MINUTES",
		"billing_code_type": "CPT",
		"billing_code_type_version": "2026",
		"billing_code": "97535",
		"description": "Adl Training Each 15 Minutes",
		"allowed_amounts":[{
			"tin": {
				"type": "ein",
				"value": "261911128"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"billing_code_modifier": ["GP"],
				"providers":[{
					"billed_charge": 95.00,
					"npi": [1659722320,1780212092]
				}]
			},{
				"allowed_amount": 30.00,
				"billing_code_modifier": ["GP"],
				"providers":[{
					"billed_charge": 95.00,
					"npi": [1780212092]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "274418547"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 28.46,
				"billing_code_modifier": ["GP", "59"],
				"providers":[{
					"billed_charge": 100.00,
					"npi": [1710193602]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "330142586"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 28.46,
				"billing_code_modifier": ["59", "GP"],
				"providers":[{
					"billed_charge": 50.00,
					"npi": [1043930183,1538624200]
				}]
			},{
				"allowed_amount": 28.83,
				"billing_code_modifier": ["59"],
				"providers":[{
					"billed_charge": 50.00,
					"npi": [1043930183]
				}]
			},{
				"allowed_amount": 28.83,
				"billing_code_modifier": ["59", "GP"],
				"providers":[{
					"billed_charge": 50.00,
					"npi": [1538624200]
				}]
			},{
				"allowed_amount": 57.66,
				"billing_code_modifier": ["59", "GP"],
				"providers":[{
					"billed_charge": 100.00,
					"npi": [1043930183,1376091561]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "330264878"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"billing_code_modifier": ["GP"],
				"providers":[{
					"billed_charge": 72.00,
					"npi": [1376127795]
				}]
			},{
				"allowed_amount": 0.00,
				"billing_code_modifier": ["GP", "59"],
				"providers":[{
					"billed_charge": 72.00,
					"npi": [1396529244]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "813597392"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 28.46,
				"billing_code_modifier": ["GP"],
				"providers":[{
					"billed_charge": 55.00,
					"npi": [1790334316]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "821821291"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 113.82,
				"billing_code_modifier": ["GO", "CO"],
				"providers":[{
					"billed_charge": 260.00,
					"npi": [1205375607]
				}]
			},{
				"allowed_amount": 115.33,
				"billing_code_modifier": ["GO"],
				"providers":[{
					"billed_charge": 260.00,
					"npi": [1790438554]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "951684089"
			},
			"service_code": ["22"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 13.31,
				"billing_code_modifier": ["GO"],
				"providers":[{
					"billed_charge": 95.04,
					"npi": [1841233780]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "951684089"
			},
			"service_code": ["22"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 13.31,
				"billing_code_modifier": ["GO"],
				"providers":[{
					"billed_charge": 95.04,
					"npi": [1700829199]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "953579976"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"billing_code_modifier": ["GO"],
				"providers":[{
					"billed_charge": 90.00,
					"npi": [1073387924]
				}]
			}]
		}]
	},{
		"name": "PR OFFICE O/P NEW LOW 30 MIN MUST BE MET OR EXCEEDED",
		"billing_code_type": "CPT",
		"billing_code_type_version": "2026",
		"billing_code": "99203",
		"description": "Office O/P New Low 30 Min Must Be Met or Exceeded",
		"allowed_amounts":[{
			"tin": {
				"type": " ",
				"value": ""
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 385.00,
				"providers":[{
					"billed_charge": 385.00,
					"npi": [ ]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "237064656"
			},
			"service_code": ["22"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"billing_code_modifier": ["25"],
				"providers":[{
					"billed_charge": 417.00,
					"npi": [1740382993]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "271332228"
			},
			"service_code": ["20"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 357.00,
					"npi": [1649500141]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "271766854"
			},
			"service_code": ["22"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 103.44,
				"providers":[{
					"billed_charge": 355.77,
					"npi": [1134112626]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "272273686"
			},
			"service_code": ["22"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 82.01,
				"providers":[{
					"billed_charge": 215.00,
					"npi": [1033221445]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "272973102"
			},
			"service_code": ["20"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 130.00,
				"providers":[{
					"billed_charge": 229.00,
					"npi": [1619523024]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "471484631"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 272.05,
				"providers":[{
					"billed_charge": 272.05,
					"npi": [1124422126]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "473999171"
			},
			"service_code": ["20"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 136.87,
				"billing_code_modifier": ["25"],
				"providers":[{
					"billed_charge": 240.00,
					"npi": [1457388720]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "812030705"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 452.00,
					"npi": [1538487756]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "821953999"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 136.87,
				"billing_code_modifier": ["25"],
				"providers":[{
					"billed_charge": 407.00,
					"npi": [1306074893]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "840720309"
			},
			"service_code": ["20"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 500.00,
				"billing_code_modifier": ["25"],
				"providers":[{
					"billed_charge": 500.00,
					"npi": [1518960814]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "854046682"
			},
			"service_code": ["20"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 138.60,
				"billing_code_modifier": ["25"],
				"providers":[{
					"billed_charge": 240.00,
					"npi": [1083348882]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "861175591"
			},
			"service_code": ["20"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 161.14,
				"providers":[{
					"billed_charge": 402.00,
					"npi": [1922124866]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "870737748"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 118.19,
				"billing_code_modifier": ["25"],
				"providers":[{
					"billed_charge": 305.20,
					"npi": [1790139434,1831129469]
				}]
			},{
				"allowed_amount": 118.19,
				"providers":[{
					"billed_charge": 305.20,
					"npi": [1417353277,1538113493]
				}]
			},{
				"allowed_amount": 128.25,
				"providers":[{
					"billed_charge": 305.20,
					"npi": [1538113493]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "870737749"
			},
			"service_code": ["11", "20"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 82.75,
				"providers":[{
					"billed_charge": 305.20,
					"npi": [1548248511]
				}]
			},{
				"allowed_amount": 118.19,
				"providers":[{
					"billed_charge": 305.20,
					"npi": [1396301529,1770223307]
				}]
			},{
				"allowed_amount": 128.25,
				"providers":[{
					"billed_charge": 305.20,
					"npi": [1033997309,1831634047]
				}]
			},{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 305.20,
					"npi": [1154388601]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "886000436"
			},
			"service_code": ["20"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 603.00,
				"billing_code_modifier": ["25"],
				"providers":[{
					"billed_charge": 603.00,
					"npi": [1689647190]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "934895258"
			},
			"service_code": ["20"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 335.00,
				"providers":[{
					"billed_charge": 335.00,
					"npi": [1093709321,1114798071]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "951691313"
			},
			"service_code": ["20"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 265.53,
				"providers":[{
					"billed_charge": 430.00,
					"npi": [1134681265,1285014498,1376862177,1477626513,1700464237,1851927883,1942223664]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "951691313"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 209.05,
				"providers":[{
					"billed_charge": 414.00,
					"npi": [1144229600,1285953364,1598147050,1609365402,1720584345,1851540199,1952490807]
				}]
			},{
				"allowed_amount": 189.10,
				"billing_code_modifier": ["25"],
				"providers":[{
					"billed_charge": 414.00,
					"npi": [1356514624,1952490807]
				}]
			},{
				"allowed_amount": 189.10,
				"billing_code_modifier": ["GC"],
				"providers":[{
					"billed_charge": 414.00,
					"npi": [1467949693,1760793822]
				}]
			},{
				"allowed_amount": 189.10,
				"providers":[{
					"billed_charge": 414.00,
					"npi": [1104997964,1144229600,1316101256,1477598662,1518036821,1538365002,1548477631,1568686871,1710373485,1720584345,1760707657,1851540199,1952490807,1982775144]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "952801772"
			},
			"service_code": ["20"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 103.44,
				"providers":[{
					"billed_charge": 188.25,
					"npi": [1144751199]
				}]
			}]
		}]
	},{
		"name": "PR OFFICE O/P NEW MOD 45 MIN MUST BE MET OR EXCEEDED",
		"billing_code_type": "CPT",
		"billing_code_type_version": "2026",
		"billing_code": "99204",
		"description": "Office O/P New Mod 45 Min Must Be Met or Exceeded",
		"allowed_amounts":[{
			"tin": {
				"type": " ",
				"value": ""
			},
			"service_code": ["20"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 215.00,
				"providers":[{
					"billed_charge": 215.00,
					"npi": [ ]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "208785833"
			},
			"service_code": ["20"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 208.23,
				"billing_code_modifier": ["25"],
				"providers":[{
					"billed_charge": 331.90,
					"npi": [1275601478]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "237064656"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 193.64,
				"providers":[{
					"billed_charge": 652.00,
					"npi": [1598007924]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "272973102"
			},
			"service_code": ["20"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"billing_code_modifier": ["25"],
				"providers":[{
					"billed_charge": 259.00,
					"npi": [1316225147]
				}]
			},{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 259.00,
					"npi": [1770015901]
				}]
			},{
				"allowed_amount": 130.00,
				"billing_code_modifier": ["25"],
				"providers":[{
					"billed_charge": 433.04,
					"npi": [1366299315]
				},{
					"billed_charge": 259.00,
					"npi": [1316438807,1366299315]
				}]
			},{
				"allowed_amount": 130.00,
				"providers":[{
					"billed_charge": 433.04,
					"npi": [1063133692]
				},{
					"billed_charge": 259.00,
					"npi": [1003559907,1013557925,1053762005,1063133692,1245878255,1366168031]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "274590874"
			},
			"service_code": ["20"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 197.26,
				"providers":[{
					"billed_charge": 329.00,
					"npi": [1689963845]
				}]
			},{
				"allowed_amount": 208.23,
				"billing_code_modifier": ["25"],
				"providers":[{
					"billed_charge": 329.00,
					"npi": [1689963845]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "274666463"
			},
			"service_code": ["20"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 203.86,
				"billing_code_modifier": ["25"],
				"providers":[{
					"billed_charge": 360.00,
					"npi": [1235265844,1811938038]
				}]
			},{
				"allowed_amount": 203.86,
				"providers":[{
					"billed_charge": 360.00,
					"npi": [1811938038]
				}]
			},{
				"allowed_amount": 215.85,
				"billing_code_modifier": ["25"],
				"providers":[{
					"billed_charge": 360.00,
					"npi": [1962463901]
				}]
			},{
				"allowed_amount": 215.85,
				"providers":[{
					"billed_charge": 360.00,
					"npi": [1235265844]
				}]
			},{
				"allowed_amount": 0.00,
				"billing_code_modifier": ["25"],
				"providers":[{
					"billed_charge": 360.00,
					"npi": [1811938038]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "330735143"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 250.20,
				"billing_code_modifier": ["25"],
				"providers":[{
					"billed_charge": 302.50,
					"npi": [1275066334]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "330901743"
			},
			"service_code": ["02"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 230.95,
				"billing_code_modifier": ["95"],
				"providers":[{
					"billed_charge": 427.00,
					"npi": [1639524424]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "410849339"
			},
			"service_code": ["20"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 517.06,
				"providers":[{
					"billed_charge": 517.06,
					"npi": [1881845683]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "454298417"
			},
			"service_code": ["20"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 208.23,
				"providers":[{
					"billed_charge": 575.00,
					"npi": [1255957205]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "473999171"
			},
			"service_code": ["20"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 203.86,
				"billing_code_modifier": ["25"],
				"providers":[{
					"billed_charge": 340.00,
					"npi": [1457388720]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "550846008"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 211.25,
				"providers":[{
					"billed_charge": 425.00,
					"npi": [1689737512]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "814766889"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 176.04,
				"billing_code_modifier": ["25"],
				"providers":[{
					"billed_charge": 295.00,
					"npi": [1437348919]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "821953999"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 203.86,
				"billing_code_modifier": ["25"],
				"providers":[{
					"billed_charge": 617.00,
					"npi": [1306074893]
				}]
			},{
				"allowed_amount": 215.85,
				"billing_code_modifier": ["25"],
				"providers":[{
					"billed_charge": 617.00,
					"npi": [1306074893]
				}]
			},{
				"allowed_amount": 0.00,
				"billing_code_modifier": ["25"],
				"providers":[{
					"billed_charge": 617.00,
					"npi": [1306074893]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "870737748"
			},
			"service_code": ["11", "20"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 120.16,
				"providers":[{
					"billed_charge": 452.88,
					"npi": [1801213285]
				}]
			},{
				"allowed_amount": 176.04,
				"providers":[{
					"billed_charge": 452.88,
					"npi": [1568090579]
				}]
			},{
				"allowed_amount": 135.20,
				"providers":[{
					"billed_charge": 452.88,
					"npi": [1801213285]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "870737749"
			},
			"service_code": ["11", "20"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 120.16,
				"billing_code_modifier": ["25"],
				"providers":[{
					"billed_charge": 452.88,
					"npi": [1548248511]
				}]
			},{
				"allowed_amount": 176.04,
				"providers":[{
					"billed_charge": 452.88,
					"npi": [1508375486]
				}]
			},{
				"allowed_amount": 192.46,
				"providers":[{
					"billed_charge": 452.88,
					"npi": [1932722758]
				}]
			},{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 452.88,
					"npi": [1205973948,1932722758]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "874137863"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 230.95,
				"providers":[{
					"billed_charge": 384.92,
					"npi": [1720617582]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "951691313"
			},
			"service_code": ["11", "22"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 216.32,
				"providers":[{
					"billed_charge": 474.00,
					"npi": [1750492146]
				}]
			},{
				"allowed_amount": 281.66,
				"billing_code_modifier": ["25"],
				"providers":[{
					"billed_charge": 617.00,
					"npi": [1265797591,1538279484,1548477631,1558666032,1760707657,1962439141]
				}]
			},{
				"allowed_amount": 281.66,
				"billing_code_modifier": ["GC"],
				"providers":[{
					"billed_charge": 617.00,
					"npi": [1316408214]
				}]
			},{
				"allowed_amount": 281.66,
				"providers":[{
					"billed_charge": 617.00,
					"npi": [1023189883,1124230909,1316101256,1497280028,1568533321,1760707657,1801094115,1841721172,1851540199,1912369273,1952490807]
				}]
			},{
				"allowed_amount": 281.66,
				"billing_code_modifier": ["25", "GC"],
				"providers":[{
					"billed_charge": 617.00,
					"npi": [1720822133]
				}]
			},{
				"allowed_amount": 313.71,
				"billing_code_modifier": ["25"],
				"providers":[{
					"billed_charge": 617.00,
					"npi": [1265797591,1326207283,1538279484]
				}]
			},{
				"allowed_amount": 313.71,
				"providers":[{
					"billed_charge": 617.00,
					"npi": [1306227491,1316385925,1508250747,1578097127,1598029332]
				}]
			},{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 617.00,
					"npi": [1578097127]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "952666087"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 176.04,
				"providers":[{
					"billed_charge": 440.10,
					"npi": [1700074127]
				}]
			}]
		}]
	},{
		"name": "PR OFFICE O/P NEW HI 60 MIN MUST BE MET OR EXCEEDED",
		"billing_code_type": "CPT",
		"billing_code_type_version": "2026",
		"billing_code": "99205",
		"description": "Office O/P New Hi 60 Min Must Be Met or Exceeded",
		"allowed_amounts":[{
			"tin": {
				"type": "ein",
				"value": "237064656"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 823.00,
					"npi": [1285654889]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "237064656"
			},
			"service_code": ["22"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 202.32,
				"providers":[{
					"billed_charge": 848.00,
					"npi": [1346470408]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "237064656"
			},
			"service_code": ["22"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 180.93,
				"providers":[{
					"billed_charge": 848.00,
					"npi": [1801005152]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "237064656"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"billing_code_modifier": ["25"],
				"providers":[{
					"billed_charge": 823.00,
					"npi": [1669630653]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "330735143"
			},
			"service_code": ["10", "11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 301.21,
				"billing_code_modifier": ["25"],
				"providers":[{
					"billed_charge": 550.00,
					"npi": [1275066334]
				}]
			},{
				"allowed_amount": 0.00,
				"billing_code_modifier": ["95"],
				"providers":[{
					"billed_charge": 550.00,
					"npi": [1275066334]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "416011702"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 646.00,
					"npi": [1780666057]
				}]
			},{
				"allowed_amount": 646.00,
				"providers":[{
					"billed_charge": 646.00,
					"npi": [1780666057]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "464742014"
			},
			"service_code": ["20"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 349.00,
					"npi": [1629581764]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "824454688"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 823.00,
					"npi": [1356876064]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "833156882"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 231.70,
				"providers":[{
					"billed_charge": 579.25,
					"npi": [1063551000]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "870737749"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 231.70,
				"providers":[{
					"billed_charge": 598.13,
					"npi": [1790030005]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "951691313"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 370.72,
				"billing_code_modifier": ["25"],
				"providers":[{
					"billed_charge": 811.00,
					"npi": [1326207283,1740316405]
				}]
			},{
				"allowed_amount": 370.72,
				"providers":[{
					"billed_charge": 811.00,
					"npi": [1235287947,1487819546,1871989335,1952534091]
				}]
			},{
				"allowed_amount": 417.21,
				"providers":[{
					"billed_charge": 811.00,
					"npi": [1235423856,1356502520,1619083961,1750407300]
				}]
			}]
		}]
	},{
		"name": "PR OFFICE O/P EST SF 10 MIN MUST BE MET OR EXCEEDED",
		"billing_code_type": "CPT",
		"billing_code_type_version": "2026",
		"billing_code": "99212",
		"description": "Office O/P Est Sf 10 Min Must Be Met or Exceeded",
		"allowed_amounts":[{
			"tin": {
				"type": "ein",
				"value": "237064656"
			},
			"service_code": ["22"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 276.00,
					"npi": [1689828741]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "274666463"
			},
			"service_code": ["20"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 185.00,
					"npi": [1811938038]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "330662258"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 54.72,
				"billing_code_modifier": ["25"],
				"providers":[{
					"billed_charge": 158.00,
					"npi": [1518228188]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "330735143"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 79.04,
				"billing_code_modifier": ["25"],
				"providers":[{
					"billed_charge": 120.00,
					"npi": [1275066334]
				}]
			},{
				"allowed_amount": 85.68,
				"billing_code_modifier": ["25"],
				"providers":[{
					"billed_charge": 120.00,
					"npi": [1275066334]
				}]
			},{
				"allowed_amount": 85.68,
				"providers":[{
					"billed_charge": 120.00,
					"npi": [1275066334]
				}]
			},{
				"allowed_amount": 0.00,
				"billing_code_modifier": ["25"],
				"providers":[{
					"billed_charge": 120.00,
					"npi": [1447513908]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "330901743"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 72.96,
				"billing_code_modifier": ["25"],
				"providers":[{
					"billed_charge": 115.00,
					"npi": [1639524424]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "475350235"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 120.00,
					"npi": [1710351739]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "870737749"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 60.80,
				"providers":[{
					"billed_charge": 155.88,
					"npi": [1255737847,1467006148]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "951691313"
			},
			"service_code": ["20"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 219.21,
				"providers":[{
					"billed_charge": 355.00,
					"npi": [1710065933]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "951691313"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 105.46,
				"billing_code_modifier": ["25"],
				"providers":[{
					"billed_charge": 158.00,
					"npi": [1164627832]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "953107363"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 60.80,
				"billing_code_modifier": ["25"],
				"providers":[{
					"billed_charge": 188.00,
					"npi": [1154881589]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "953134847"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"billing_code_modifier": ["25"],
				"providers":[{
					"billed_charge": 124.00,
					"npi": [1417034489]
				}]
			}]
		}]
	},{
		"name": "PR OFFICE O/P EST LOW 20 MIN MUST BE MET OR EXCEEDED",
		"billing_code_type": "CPT",
		"billing_code_type_version": "2026",
		"billing_code": "99213",
		"description": "Office O/P Est Low 20 Min Must Be Met or Exceeded",
		"allowed_amounts":[{
			"tin": {
				"type": "ein",
				"value": "201019163"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 165.00,
					"npi": [1043258429]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "201296765"
			},
			"service_code": ["02"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 125.00,
					"npi": [1437180791]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "202138632"
			},
			"service_code": ["10"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"billing_code_modifier": ["95"],
				"providers":[{
					"billed_charge": 295.00,
					"npi": [1134309305]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "237262137"
			},
			"service_code": ["22"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 194.07,
					"npi": [1023127057]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "237262137"
			},
			"service_code": ["22"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 352.26,
					"npi": [1891747333]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "271766854"
			},
			"service_code": ["22"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 83.80,
				"providers":[{
					"billed_charge": 288.27,
					"npi": [1134112626]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "272973102"
			},
			"service_code": ["20"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 130.00,
				"billing_code_modifier": ["25"],
				"providers":[{
					"billed_charge": 199.00,
					"npi": [1922711209]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "273669526"
			},
			"service_code": ["22"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 150.00,
					"npi": [1003890666]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "274666463"
			},
			"service_code": ["20"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 112.43,
				"providers":[{
					"billed_charge": 203.00,
					"npi": [1811938038]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "330662258"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 87.38,
				"billing_code_modifier": ["25"],
				"providers":[{
					"billed_charge": 251.00,
					"npi": [1639140650]
				}]
			},{
				"allowed_amount": 87.38,
				"providers":[{
					"billed_charge": 251.00,
					"npi": [1154516599,1407434533,1831832500,1861853236]
				}]
			},{
				"allowed_amount": 94.21,
				"providers":[{
					"billed_charge": 251.00,
					"npi": [1053540534]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "464297947"
			},
			"service_code": ["02"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 110.00,
					"npi": [1427085661]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "464708943"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 105.00,
				"billing_code_modifier": ["GT"],
				"providers":[{
					"billed_charge": 105.00,
					"npi": [1790836104]
				},{
					"billed_charge": 62.00,
					"npi": [1215257597]
				},{
					"billed_charge": 99.00,
					"npi": [1790836104]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "522372297"
			},
			"service_code": ["02"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 125.62,
				"billing_code_modifier": ["95"],
				"providers":[{
					"billed_charge": 732.76,
					"npi": [1073672473]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "814766889"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 97.09,
				"providers":[{
					"billed_charge": 140.00,
					"npi": [1437348919]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "814880488"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"billing_code_modifier": ["25"],
				"providers":[{
					"billed_charge": 95.00,
					"npi": [1073633301,1790221703]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "870737748"
			},
			"service_code": ["11", "20"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 67.04,
				"providers":[{
					"billed_charge": 248.45,
					"npi": [1538169990]
				}]
			},{
				"allowed_amount": 97.09,
				"providers":[{
					"billed_charge": 248.45,
					"npi": [1386195535,1528292646,1902337801]
				}]
			},{
				"allowed_amount": 104.68,
				"providers":[{
					"billed_charge": 248.45,
					"npi": [1255884375]
				}]
			},{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 248.45,
					"npi": [1306519061]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "870737749"
			},
			"service_code": ["11", "20"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 59.54,
				"providers":[{
					"billed_charge": 248.45,
					"npi": [1548248511]
				}]
			},{
				"allowed_amount": 97.09,
				"providers":[{
					"billed_charge": 248.45,
					"npi": [1033997309,1255737847,1467006148,1770223307,1841473170]
				}]
			},{
				"allowed_amount": 104.68,
				"providers":[{
					"billed_charge": 248.45,
					"npi": [1205169711,1255737847,1710322904]
				}]
			},{
				"allowed_amount": 0.00,
				"billing_code_modifier": ["25"],
				"providers":[{
					"billed_charge": 248.45,
					"npi": [1407084908]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "941156581"
			},
			"service_code": ["20"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 114.41,
				"providers":[{
					"billed_charge": 263.00,
					"npi": [1760413793]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "951691313"
			},
			"service_code": ["20"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 219.21,
				"providers":[{
					"billed_charge": 355.00,
					"npi": [1275895849,1285014498,1477626513,1609947464,1700464237,1790856557,1811423072,1851927883,1942223664]
				}]
			},{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 355.00,
					"npi": [1134681265]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "951691313"
			},
			"service_code": ["10", "11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 97.05,
				"billing_code_modifier": ["95"],
				"providers":[{
					"billed_charge": 340.00,
					"npi": [1952490807]
				}]
			},{
				"allowed_amount": 107.26,
				"billing_code_modifier": ["95"],
				"providers":[{
					"billed_charge": 340.00,
					"npi": [1316101256]
				}]
			},{
				"allowed_amount": 155.34,
				"billing_code_modifier": ["25"],
				"providers":[{
					"billed_charge": 340.00,
					"npi": [1386140085,1952490807]
				}]
			},{
				"allowed_amount": 155.34,
				"billing_code_modifier": ["57"],
				"providers":[{
					"billed_charge": 340.00,
					"npi": [1386140085]
				}]
			},{
				"allowed_amount": 155.34,
				"billing_code_modifier": ["GC"],
				"providers":[{
					"billed_charge": 340.00,
					"npi": [1124051420]
				}]
			},{
				"allowed_amount": 155.34,
				"providers":[{
					"billed_charge": 340.00,
					"npi": [1023189883,1124230909,1336777093,1386140085,1538147145,1548477631,1558666032,1568686871,1598979593,1619151685,1659634699,1760707657,1851540199,1952490807,1992982854]
				}]
			},{
				"allowed_amount": 170.63,
				"billing_code_modifier": ["25"],
				"providers":[{
					"billed_charge": 340.00,
					"npi": [1952490807]
				}]
			},{
				"allowed_amount": 170.63,
				"billing_code_modifier": ["GC"],
				"providers":[{
					"billed_charge": 340.00,
					"npi": [1346674561,1760793822]
				}]
			},{
				"allowed_amount": 170.63,
				"providers":[{
					"billed_charge": 340.00,
					"npi": [1164436291,1386140085,1497280028,1558556969,1558666032,1568686871,1659305753,1659634699,1851540199]
				}]
			},{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 251.00,
					"npi": [1619908936]
				},{
					"billed_charge": 340.00,
					"npi": [1659305753,1992982854]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "951750445"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 220.00,
					"npi": [1770807000]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "952801772"
			},
			"service_code": ["20"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 74.43,
				"providers":[{
					"billed_charge": 134.73,
					"npi": [1649552621]
				}]
			},{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 134.73,
					"npi": [1649552621]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "952801772"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 134.73,
					"npi": [1952563421]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "952815615"
			},
			"service_code": ["50"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 250.00,
					"npi": [1003172016,1073524492]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "952847102"
			},
			"service_code": ["02"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"billing_code_modifier": ["95"],
				"providers":[{
					"billed_charge": 250.00,
					"npi": [1831361278]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "953782169"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 317.90,
				"billing_code_modifier": ["27"],
				"providers":[{
					"billed_charge": 374.00,
					"npi": [1407839921]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "954457756"
			},
			"service_code": ["10"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 179.61,
				"billing_code_modifier": ["95"],
				"providers":[{
					"billed_charge": 344.00,
					"npi": [1770653305]
				}]
			}]
		}]
	},{
		"name": "PR OFFICE O/P EST MOD 30 MIN MUST BE MET OR EXCEEDED",
		"billing_code_type": "CPT",
		"billing_code_type_version": "2026",
		"billing_code": "99214",
		"description": "Office O/P Est Mod 30 Min Must Be Met or Exceeded",
		"allowed_amounts":[{
			"tin": {
				"type": "ein",
				"value": "201019163"
			},
			"service_code": ["11", "02"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 250.00,
					"npi": [1043258429]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "204615687"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 178.18,
				"providers":[{
					"billed_charge": 210.56,
					"npi": [1164950184]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "205823403"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 200.00,
					"npi": [1154395440]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "208785833"
			},
			"service_code": ["20"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 151.64,
				"billing_code_modifier": ["25"],
				"providers":[{
					"billed_charge": 222.00,
					"npi": [1275601478]
				}]
			},{
				"allowed_amount": 151.64,
				"providers":[{
					"billed_charge": 222.00,
					"npi": [1275601478]
				}]
			},{
				"allowed_amount": 159.80,
				"billing_code_modifier": ["25"],
				"providers":[{
					"billed_charge": 222.00,
					"npi": [1013163914]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "261861162"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 305.91,
					"npi": [1568533222]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "270297391"
			},
			"service_code": ["02"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"billing_code_modifier": ["95"],
				"providers":[{
					"billed_charge": 200.00,
					"npi": [1962526756]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "272973102"
			},
			"service_code": ["20"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"billing_code_modifier": ["25"],
				"providers":[{
					"billed_charge": 229.00,
					"npi": [1770015901]
				}]
			},{
				"allowed_amount": 130.00,
				"billing_code_modifier": ["25"],
				"providers":[{
					"billed_charge": 229.00,
					"npi": [1013557925,1144689175]
				}]
			},{
				"allowed_amount": 130.00,
				"providers":[{
					"billed_charge": 229.00,
					"npi": [1033540554,1174887368,1316438807,1912367830]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "273669526"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 200.00,
					"npi": [1003890666]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "274590874"
			},
			"service_code": ["20"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 151.64,
				"billing_code_modifier": ["25"],
				"providers":[{
					"billed_charge": 203.00,
					"npi": [1689963845]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "274666463"
			},
			"service_code": ["20"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 157.46,
				"billing_code_modifier": ["25"],
				"providers":[{
					"billed_charge": 287.00,
					"npi": [1023420916,1235265844,1457391740]
				}]
			},{
				"allowed_amount": 157.46,
				"billing_code_modifier": ["95"],
				"providers":[{
					"billed_charge": 287.00,
					"npi": [1811938038]
				}]
			},{
				"allowed_amount": 157.46,
				"providers":[{
					"billed_charge": 287.00,
					"npi": [1093867970,1457391740,1811938038]
				}]
			},{
				"allowed_amount": 166.53,
				"billing_code_modifier": ["25"],
				"providers":[{
					"billed_charge": 287.00,
					"npi": [1235265844]
				}]
			},{
				"allowed_amount": 166.53,
				"providers":[{
					"billed_charge": 287.00,
					"npi": [1235265844]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "330102201"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 163.15,
				"providers":[{
					"billed_charge": 267.00,
					"npi": [1396204426]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "330428845"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 609.00,
					"npi": [1659395671]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "330501397"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 150.00,
				"providers":[{
					"billed_charge": 150.00,
					"npi": [1720072192]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "330901743"
			},
			"service_code": ["02"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 178.18,
				"billing_code_modifier": ["95"],
				"providers":[{
					"billed_charge": 280.00,
					"npi": [1639524424]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "384120823"
			},
			"service_code": ["20"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 159.33,
				"providers":[{
					"billed_charge": 338.55,
					"npi": [1740309608]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "462113991"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"billing_code_modifier": ["95"],
				"providers":[{
					"billed_charge": 200.00,
					"npi": [1366857476,1841832599,1851901292]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "464297947"
			},
			"service_code": ["02"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 150.00,
					"npi": [1427085661]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "464742014"
			},
			"service_code": ["20"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"billing_code_modifier": ["25"],
				"providers":[{
					"billed_charge": 229.00,
					"npi": [1013557925]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "473276408"
			},
			"service_code": ["02"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 280.00,
				"billing_code_modifier": ["95"],
				"providers":[{
					"billed_charge": 375.00,
					"npi": [1013350586,1518221894]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "473999171"
			},
			"service_code": ["20"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 166.53,
				"billing_code_modifier": ["25"],
				"providers":[{
					"billed_charge": 260.00,
					"npi": [1457388720]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "474830165"
			},
			"service_code": ["20"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 616.00,
					"npi": [1104524891]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "522372297"
			},
			"service_code": ["11", "02"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 163.15,
				"billing_code_modifier": ["25"],
				"providers":[{
					"billed_charge": 951.72,
					"npi": [1073672473]
				}]
			},{
				"allowed_amount": 163.15,
				"billing_code_modifier": ["95"],
				"providers":[{
					"billed_charge": 951.72,
					"npi": [1073672473]
				}]
			},{
				"allowed_amount": 163.15,
				"providers":[{
					"billed_charge": 951.72,
					"npi": [1073672473]
				}]
			},{
				"allowed_amount": 178.18,
				"providers":[{
					"billed_charge": 1039.36,
					"npi": [1073672473]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "550846008"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 163.15,
				"billing_code_modifier": ["25"],
				"providers":[{
					"billed_charge": 225.00,
					"npi": [1093356016]
				}]
			},{
				"allowed_amount": 163.15,
				"providers":[{
					"billed_charge": 225.00,
					"npi": [1093356016]
				}]
			},{
				"allowed_amount": 0.00,
				"billing_code_modifier": ["25"],
				"providers":[{
					"billed_charge": 225.00,
					"npi": [1093356016]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "611897007"
			},
			"service_code": ["02"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"billing_code_modifier": ["GT"],
				"providers":[{
					"billed_charge": 117.96,
					"npi": [1861918104]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "814236980"
			},
			"service_code": ["02"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"billing_code_modifier": ["95"],
				"providers":[{
					"billed_charge": 250.00,
					"npi": [1518690205]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "821953999"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 157.46,
				"billing_code_modifier": ["25"],
				"providers":[{
					"billed_charge": 333.00,
					"npi": [1306074893]
				}]
			},{
				"allowed_amount": 166.53,
				"billing_code_modifier": ["25"],
				"providers":[{
					"billed_charge": 333.00,
					"npi": [1306074893]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "824454688"
			},
			"service_code": ["02"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 97.98,
				"billing_code_modifier": ["95"],
				"providers":[{
					"billed_charge": 436.00,
					"npi": [1356876064]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "843408070"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"billing_code_modifier": ["95"],
				"providers":[{
					"billed_charge": 235.00,
					"npi": [1952708075]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "870737748"
			},
			"service_code": ["11", "20", "02"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 87.36,
				"providers":[{
					"billed_charge": 350.30,
					"npi": [1801213285]
				}]
			},{
				"allowed_amount": 135.96,
				"billing_code_modifier": ["95"],
				"providers":[{
					"billed_charge": 350.30,
					"npi": [1093231953,1417353277,1790139434]
				}]
			},{
				"allowed_amount": 135.96,
				"providers":[{
					"billed_charge": 350.30,
					"npi": [1528696127,1538113493,1780655639]
				}]
			},{
				"allowed_amount": 148.48,
				"providers":[{
					"billed_charge": 350.30,
					"npi": [1528292646]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "870737749"
			},
			"service_code": ["11", "20"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 87.36,
				"billing_code_modifier": ["25"],
				"providers":[{
					"billed_charge": 350.30,
					"npi": [1962503805]
				}]
			},{
				"allowed_amount": 87.36,
				"providers":[{
					"billed_charge": 350.30,
					"npi": [1962503805]
				}]
			},{
				"allowed_amount": 135.96,
				"providers":[{
					"billed_charge": 350.30,
					"npi": [1033997309,1801885322]
				}]
			},{
				"allowed_amount": 98.60,
				"providers":[{
					"billed_charge": 350.30,
					"npi": [1962503805]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "871631689"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 176.74,
				"providers":[{
					"billed_charge": 190.00,
					"npi": [1881642098]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "923103316"
			},
			"service_code": ["02"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 135.96,
				"billing_code_modifier": ["95"],
				"providers":[{
					"billed_charge": 216.00,
					"npi": [1437543733]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "941706811"
			},
			"service_code": ["10", "02"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"billing_code_modifier": ["GT"],
				"providers":[{
					"billed_charge": 500.00,
					"npi": [1184785834]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "951691313"
			},
			"service_code": ["20"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 249.47,
				"providers":[{
					"billed_charge": 404.00,
					"npi": [1811423072,1891122610]
				}]
			},{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 404.00,
					"npi": [1689646689]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "951691313"
			},
			"service_code": ["22"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 48.00,
					"npi": [1710065933]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "951691313"
			},
			"service_code": ["10", "11", "22"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 157.76,
				"billing_code_modifier": ["25"],
				"providers":[{
					"billed_charge": 346.00,
					"npi": [1396942470]
				}]
			},{
				"allowed_amount": 157.76,
				"billing_code_modifier": ["95"],
				"providers":[{
					"billed_charge": 476.00,
					"npi": [1023329885,1164818035,1356502520]
				}]
			},{
				"allowed_amount": 217.54,
				"billing_code_modifier": ["25"],
				"providers":[{
					"billed_charge": 476.00,
					"npi": [1053843466,1356502520,1356796783,1427129287,1518036821,1538279484,1558666032,1659305753,1851540199,1952490807]
				}]
			},{
				"allowed_amount": 217.54,
				"billing_code_modifier": ["GC"],
				"providers":[{
					"billed_charge": 476.00,
					"npi": [1164818035,1235167321]
				}]
			},{
				"allowed_amount": 217.54,
				"providers":[{
					"billed_charge": 476.00,
					"npi": [1053843466,1104997964,1124230909,1124580139,1164818035,1235287947,1316385925,1326207283,1356502520,1366589640,1487819546,1487920724,1548477631,1578097127,1619151685,1699216010,1851540199,1871664631,1912112020,1952490807,1962066035]
				}]
			},{
				"allowed_amount": 217.54,
				"billing_code_modifier": ["GC", "25"],
				"providers":[{
					"billed_charge": 476.00,
					"npi": [1144726936]
				}]
			},{
				"allowed_amount": 242.02,
				"billing_code_modifier": ["25"],
				"providers":[{
					"billed_charge": 476.00,
					"npi": [1144615659,1346674561,1851540199]
				}]
			},{
				"allowed_amount": 242.02,
				"providers":[{
					"billed_charge": 476.00,
					"npi": [1275604035,1316101256,1366589640,1508250747,1528420619,1598029332,1609017532,1609801299,1750407300,1801094115,1811919244,1912112020]
				}]
			},{
				"allowed_amount": 0.00,
				"billing_code_modifier": ["25"],
				"providers":[{
					"billed_charge": 476.00,
					"npi": [1356502520]
				}]
			},{
				"allowed_amount": 0.00,
				"billing_code_modifier": ["95"],
				"providers":[{
					"billed_charge": 476.00,
					"npi": [1023329885]
				}]
			},{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 353.00,
					"npi": [1619908936]
				},{
					"billed_charge": 476.00,
					"npi": [1487819546,1952740177]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "951750445"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 358.00,
					"npi": [1790046506]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "952801772"
			},
			"service_code": ["20"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 195.25,
					"npi": [1154683787,1982101234]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "953134847"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 135.96,
				"providers":[{
					"billed_charge": 277.00,
					"npi": [1619403847]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "953696850"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 170.75,
				"providers":[{
					"billed_charge": 185.00,
					"npi": [1346634219]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "956003843"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 0.00,
				"billing_code_modifier": ["25"],
				"providers":[{
					"billed_charge": 678.10,
					"npi": [1457321317]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "992646504"
			},
			"service_code": ["10"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"billing_code_modifier": ["95"],
				"providers":[{
					"billed_charge": 322.00,
					"npi": [1023503026]
				}]
			}]
		}]
	},{
		"name": "PR OFFICE O/P EST HI 40 MIN MUST BE MET OR EXCEEDED",
		"billing_code_type": "CPT",
		"billing_code_type_version": "2026",
		"billing_code": "99215",
		"description": "Office O/P Est Hi 40 Min Must Be Met or Exceeded",
		"allowed_amounts":[{
			"tin": {
				"type": "ein",
				"value": "201028270"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 225.00,
				"billing_code_modifier": ["25"],
				"providers":[{
					"billed_charge": 225.00,
					"npi": [1124233739]
				}]
			},{
				"allowed_amount": 225.00,
				"providers":[{
					"billed_charge": 225.00,
					"npi": [1124233739]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "208785833"
			},
			"service_code": ["20"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 212.46,
				"billing_code_modifier": ["25"],
				"providers":[{
					"billed_charge": 230.00,
					"npi": [1275601478]
				}]
			},{
				"allowed_amount": 0.00,
				"billing_code_modifier": ["25"],
				"providers":[{
					"billed_charge": 230.00,
					"npi": [1275601478]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "237064656"
			},
			"service_code": ["11", "22"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 38.04,
				"providers":[{
					"billed_charge": 600.00,
					"npi": [1831553718]
				}]
			},{
				"allowed_amount": 160.93,
				"providers":[{
					"billed_charge": 600.00,
					"npi": [1346470408]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "237064656"
			},
			"service_code": ["22"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 143.10,
				"providers":[{
					"billed_charge": 600.00,
					"npi": [1801207006]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "330541971"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 209.24,
				"providers":[{
					"billed_charge": 520.00,
					"npi": [1023105335]
				}]
			},{
				"allowed_amount": 230.99,
				"providers":[{
					"billed_charge": 520.00,
					"npi": [1023105335]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "330662258"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 188.99,
				"providers":[{
					"billed_charge": 494.00,
					"npi": [1417177577]
				}]
			},{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 494.00,
					"npi": [1417177577]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "416011702"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 476.00,
				"providers":[{
					"billed_charge": 476.00,
					"npi": [1780666057]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "870737749"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 209.99,
				"providers":[{
					"billed_charge": 491.28,
					"npi": [1528345220]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "923473312"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 190.22,
				"providers":[{
					"billed_charge": 475.00,
					"npi": [1356372924]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "951691313"
			},
			"service_code": ["10", "11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 212.05,
				"billing_code_modifier": ["95"],
				"providers":[{
					"billed_charge": 666.00,
					"npi": [1346426996]
				}]
			},{
				"allowed_amount": 234.08,
				"billing_code_modifier": ["95"],
				"providers":[{
					"billed_charge": 666.00,
					"npi": [1801316526,1962439141]
				}]
			},{
				"allowed_amount": 304.35,
				"billing_code_modifier": ["25"],
				"providers":[{
					"billed_charge": 666.00,
					"npi": [1326207283,1356502520,1356570758,1649222340,1720548209]
				}]
			},{
				"allowed_amount": 304.35,
				"billing_code_modifier": ["GC"],
				"providers":[{
					"billed_charge": 666.00,
					"npi": [1427140839,1912169061]
				}]
			},{
				"allowed_amount": 304.35,
				"providers":[{
					"billed_charge": 666.00,
					"npi": [1023189883,1063916633,1265465918,1336356203,1356796536,1447460050,1588846380,1952490807]
				}]
			},{
				"allowed_amount": 342.28,
				"billing_code_modifier": ["25"],
				"providers":[{
					"billed_charge": 666.00,
					"npi": [1235423856,1801952197]
				}]
			},{
				"allowed_amount": 342.28,
				"providers":[{
					"billed_charge": 666.00,
					"npi": [1235423856,1730247974,1750407300]
				}]
			}]
		}]
	},{
		"name": "PR INITIAL HOSPITAL CARE/DAY >=  55 MINUTES",
		"billing_code_type": "CPT",
		"billing_code_type_version": "2026",
		"billing_code": "99222",
		"description": "Initial Hospital Care/Day >= 55 Minutes",
		"allowed_amounts":[{
			"tin": {
				"type": "ein",
				"value": "274002793"
			},
			"service_code": ["21"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 131.36,
				"providers":[{
					"billed_charge": 580.00,
					"npi": [1538620760]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "330515386"
			},
			"service_code": ["21"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 174.51,
				"providers":[{
					"billed_charge": 351.00,
					"npi": [1891975702]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "330662258"
			},
			"service_code": ["21"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 430.00,
					"npi": [1518228188]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "452533286"
			},
			"service_code": ["21"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 424.00,
					"npi": [1922023720]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "461516846"
			},
			"service_code": ["22"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 150.48,
				"billing_code_modifier": ["25"],
				"providers":[{
					"billed_charge": 248.53,
					"npi": [1811920432]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "851914167"
			},
			"service_code": ["21"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 120.38,
				"providers":[{
					"billed_charge": 436.56,
					"npi": [1841237955]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "870737749"
			},
			"service_code": ["21"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 131.36,
				"providers":[{
					"billed_charge": 354.35,
					"npi": [1477016392]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "871458415"
			},
			"service_code": ["21"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 1239.34,
					"npi": [1396059150]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "880550253"
			},
			"service_code": ["21"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 325.00,
					"npi": [1700083391]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "951684089"
			},
			"service_code": ["22"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 1769.67,
				"billing_code_modifier": ["25"],
				"providers":[{
					"billed_charge": 12640.51,
					"npi": [1841233780]
				}]
			},{
				"allowed_amount": 1769.67,
				"providers":[{
					"billed_charge": 12640.51,
					"npi": [1841233780]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "951684089"
			},
			"service_code": ["22"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 1955.95,
				"billing_code_modifier": ["25"],
				"providers":[{
					"billed_charge": 13971.09,
					"npi": [1700829199]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "951684089"
			},
			"service_code": ["22"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 1862.81,
				"providers":[{
					"billed_charge": 13305.80,
					"npi": [1841277704]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "951684089"
			},
			"service_code": ["22", "23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 2142.23,
				"providers":[{
					"billed_charge": 15301.67,
					"npi": [1659359446]
				}]
			},{
				"allowed_amount": 2588.68,
				"providers":[{
					"billed_charge": 18490.60,
					"npi": [1659359446]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "951691313"
			},
			"service_code": ["21"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 210.18,
				"billing_code_modifier": ["25"],
				"providers":[{
					"billed_charge": 460.00,
					"npi": [1356796783]
				}]
			},{
				"allowed_amount": 210.18,
				"providers":[{
					"billed_charge": 460.00,
					"npi": [1427254937]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "952818055"
			},
			"service_code": ["21"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 278.00,
					"npi": [1639551435]
				}]
			}]
		}]
	},{
		"name": "PR INITIAL HOSPITAL CARE/ HIGH LEVEL, DAY >=75MINUTES",
		"billing_code_type": "CPT",
		"billing_code_type_version": "2026",
		"billing_code": "99223",
		"description": "Initial Hospital Care/ High Level, Day >=75minutes",
		"allowed_amounts":[{
			"tin": {
				"type": "ein",
				"value": "200525526"
			},
			"service_code": ["51"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 410.00,
					"npi": [1932429289]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "200735236"
			},
			"service_code": ["51"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 410.00,
					"npi": [1164641650]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "200738262"
			},
			"service_code": ["21", "22"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 193.72,
				"providers":[{
					"billed_charge": 654.00,
					"npi": [1326601485,1740817360]
				}]
			},{
				"allowed_amount": 210.13,
				"providers":[{
					"billed_charge": 654.00,
					"npi": [1073192860,1326601485,1609442920]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "201296765"
			},
			"service_code": ["51"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 410.00,
					"npi": [1437180791]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "202901522"
			},
			"service_code": ["21"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 201.79,
				"billing_code_modifier": ["AI"],
				"providers":[{
					"billed_charge": 1389.00,
					"npi": [1154403640]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "204770445"
			},
			"service_code": ["21"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 421.60,
					"npi": [1184367427,1407171937,1467871673]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "237064656"
			},
			"service_code": ["22"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 192.62,
				"providers":[{
					"billed_charge": 793.00,
					"npi": [1548440100]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "237064656"
			},
			"service_code": ["21"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 192.62,
				"providers":[{
					"billed_charge": 793.00,
					"npi": [1114368990]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "330028122"
			},
			"service_code": ["21"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 530.00,
					"npi": [1538484084]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "330515386"
			},
			"service_code": ["21"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 232.62,
				"providers":[{
					"billed_charge": 515.00,
					"npi": [1215332010]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "330633580"
			},
			"service_code": ["21"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 210.13,
				"providers":[{
					"billed_charge": 419.00,
					"npi": [1578839106]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "330686333"
			},
			"service_code": ["21"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 430.00,
					"npi": [1619061736]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "330830630"
			},
			"service_code": ["21"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 232.62,
				"providers":[{
					"billed_charge": 350.00,
					"npi": [1215332010]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "393481869"
			},
			"service_code": ["21"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 201.79,
				"billing_code_modifier": ["57"],
				"providers":[{
					"billed_charge": 404.00,
					"npi": [1154785269]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "462868532"
			},
			"service_code": ["51"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 300.00,
					"npi": [1518935808]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "471989179"
			},
			"service_code": ["51"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 350.00,
					"npi": [1477751667]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "611677183"
			},
			"service_code": ["21"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 193.72,
				"billing_code_modifier": ["GC"],
				"providers":[{
					"billed_charge": 520.43,
					"npi": [1265495691]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "814107771"
			},
			"service_code": ["21"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 228.52,
				"providers":[{
					"billed_charge": 439.62,
					"npi": [1407112923]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "814463656"
			},
			"service_code": ["22"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 201.79,
				"billing_code_modifier": ["FS"],
				"providers":[{
					"billed_charge": 1276.00,
					"npi": [1306932330]
				}]
			},{
				"allowed_amount": 201.79,
				"providers":[{
					"billed_charge": 1276.00,
					"npi": [1043259310,1164614012,1952668931]
				}]
			},{
				"allowed_amount": 218.89,
				"billing_code_modifier": ["FS"],
				"providers":[{
					"billed_charge": 1276.00,
					"npi": [1679927859]
				}]
			},{
				"allowed_amount": 218.89,
				"providers":[{
					"billed_charge": 1276.00,
					"npi": [1043259310,1306932330,1679927859,1942230297]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "844681720"
			},
			"service_code": ["21"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 218.89,
				"providers":[{
					"billed_charge": 365.00,
					"npi": [1477934909]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "851202660"
			},
			"service_code": ["21"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 428.00,
					"npi": [1366659294]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "870737749"
			},
			"service_code": ["21"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 175.11,
				"billing_code_modifier": ["AI"],
				"providers":[{
					"billed_charge": 520.43,
					"npi": [1669115531]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "943391400"
			},
			"service_code": ["23"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 253.74,
				"billing_code_modifier": ["25"],
				"providers":[{
					"billed_charge": 1097.00,
					"npi": [1356572267]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "951691313"
			},
			"service_code": ["21"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 263.13,
				"billing_code_modifier": ["GC"],
				"providers":[{
					"billed_charge": 613.00,
					"npi": [1457420713]
				}]
			},{
				"allowed_amount": 263.13,
				"providers":[{
					"billed_charge": 613.00,
					"npi": [1538485586]
				}]
			},{
				"allowed_amount": 280.18,
				"billing_code_modifier": ["GC"],
				"providers":[{
					"billed_charge": 613.00,
					"npi": [1043673528,1699955542]
				}]
			},{
				"allowed_amount": 280.18,
				"providers":[{
					"billed_charge": 613.00,
					"npi": [1144647520]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "952818055"
			},
			"service_code": ["21"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 409.00,
					"npi": [1639551435]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "952848091"
			},
			"service_code": ["21"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 175.11,
				"providers":[{
					"billed_charge": 353.00,
					"npi": [1760461206]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "953142358"
			},
			"service_code": ["21"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 180.63,
				"billing_code_modifier": ["25"],
				"providers":[{
					"billed_charge": 300.00,
					"npi": [1467642215]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "953831162"
			},
			"service_code": ["21"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 201.79,
				"billing_code_modifier": ["57"],
				"providers":[{
					"billed_charge": 489.00,
					"npi": [1720426190]
				}]
			}]
		}]
	},{
		"name": "PR SBSQ HOSPITAL CARE/DAY >= 35 MINUTES",
		"billing_code_type": "CPT",
		"billing_code_type_version": "2026",
		"billing_code": "99232",
		"description": "Sbsq Hospital Care/Day >= 35 Minutes",
		"allowed_amounts":[{
			"tin": {
				"type": "ein",
				"value": "201296765"
			},
			"service_code": ["51"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 210.00,
					"npi": [1437180791]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "330028122"
			},
			"service_code": ["21"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 240.00,
					"npi": [1700848397]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "452130733"
			},
			"service_code": ["21"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 175.00,
					"npi": [1174679047]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "465756798"
			},
			"service_code": ["21"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 91.06,
				"providers":[{
					"billed_charge": 149.69,
					"npi": [1427169069]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "471989179"
			},
			"service_code": ["51"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 150.00,
					"npi": [1477751667]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "814978794"
			},
			"service_code": ["21"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 453.00,
					"npi": [1417308651]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "851202660"
			},
			"service_code": ["21", "61"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 79.93,
				"providers":[{
					"billed_charge": 154.00,
					"npi": [1366659294,1609405059,1629500608]
				}]
			},{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 154.00,
					"npi": [1366659294,1427498914]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "871458415"
			},
			"service_code": ["21"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 106.18,
				"providers":[{
					"billed_charge": 663.84,
					"npi": [1396059150,1518935808]
				}]
			},{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 663.84,
					"npi": [1992293211]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "880550253"
			},
			"service_code": ["21"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 210.00,
					"npi": [1700083391]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "951691313"
			},
			"service_code": ["21"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 118.75,
				"billing_code_modifier": ["25"],
				"providers":[{
					"billed_charge": 280.00,
					"npi": [1275764458]
				}]
			},{
				"allowed_amount": 118.75,
				"billing_code_modifier": ["GC"],
				"providers":[{
					"billed_charge": 280.00,
					"npi": [1457420713]
				}]
			},{
				"allowed_amount": 118.75,
				"providers":[{
					"billed_charge": 280.00,
					"npi": [1275764458,1912071655]
				}]
			},{
				"allowed_amount": 127.89,
				"providers":[{
					"billed_charge": 280.00,
					"npi": [1316385925,1548521511,1598979593,1922179688]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "952818055"
			},
			"service_code": ["21"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 152.00,
					"npi": [1639551435]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "952848091"
			},
			"service_code": ["21"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 79.93,
				"providers":[{
					"billed_charge": 161.00,
					"npi": [1760461206]
				}]
			}]
		}]
	},{
		"name": "PR SBSQ HOSPITAL CARE/DAY >= 50 MINUTES",
		"billing_code_type": "CPT",
		"billing_code_type_version": "2026",
		"billing_code": "99233",
		"description": "Sbsq Hospital Care/Day >= 50 Minutes",
		"allowed_amounts":[{
			"tin": {
				"type": "ein",
				"value": "200735236"
			},
			"service_code": ["51"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 285.00,
					"npi": [1164641650]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "200738262"
			},
			"service_code": ["21"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 132.71,
				"providers":[{
					"billed_charge": 337.00,
					"npi": [1811381064]
				}]
			},{
				"allowed_amount": 143.46,
				"providers":[{
					"billed_charge": 337.00,
					"npi": [1073192860]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "204770445"
			},
			"service_code": ["21"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 216.78,
					"npi": [1104087808,1184367427,1881181469]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "237064656"
			},
			"service_code": ["21"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 121.65,
				"providers":[{
					"billed_charge": 411.00,
					"npi": [1023373040]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "330686333"
			},
			"service_code": ["21"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 295.00,
					"npi": [1619061736]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "452130733"
			},
			"service_code": ["21"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 200.00,
					"npi": [1174679047]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "611677183"
			},
			"service_code": ["21"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 132.71,
				"billing_code_modifier": ["GC"],
				"providers":[{
					"billed_charge": 269.23,
					"npi": [1003879438,1932349909]
				}]
			},{
				"allowed_amount": 132.71,
				"providers":[{
					"billed_charge": 269.23,
					"npi": [1003879438]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "814463656"
			},
			"service_code": ["22"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 138.24,
				"providers":[{
					"billed_charge": 875.00,
					"npi": [1043259310,1699182832]
				}]
			},{
				"allowed_amount": 149.44,
				"billing_code_modifier": ["FS"],
				"providers":[{
					"billed_charge": 875.00,
					"npi": [1649826983]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "844681720"
			},
			"service_code": ["21"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 149.44,
				"providers":[{
					"billed_charge": 251.00,
					"npi": [1477934909]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "851202660"
			},
			"service_code": ["61"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 119.55,
				"providers":[{
					"billed_charge": 221.00,
					"npi": [1609405059]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "870737748"
			},
			"service_code": ["22"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 119.55,
				"providers":[{
					"billed_charge": 269.23,
					"npi": [1013117795]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "870737749"
			},
			"service_code": ["21"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 110.59,
				"providers":[{
					"billed_charge": 269.23,
					"npi": [1669115531]
				}]
			},{
				"allowed_amount": 119.55,
				"providers":[{
					"billed_charge": 269.23,
					"npi": [1669115531]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "871458415"
			},
			"service_code": ["21"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 158.81,
				"providers":[{
					"billed_charge": 954.84,
					"npi": [1306103361]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "880550253"
			},
			"service_code": ["21"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 285.00,
					"npi": [1700083391]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "951691313"
			},
			"service_code": ["21"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 180.26,
				"billing_code_modifier": ["25"],
				"providers":[{
					"billed_charge": 419.00,
					"npi": [1538485586]
				}]
			},{
				"allowed_amount": 191.28,
				"billing_code_modifier": ["25"],
				"providers":[{
					"billed_charge": 419.00,
					"npi": [1871989335]
				}]
			},{
				"allowed_amount": 191.28,
				"billing_code_modifier": ["GC"],
				"providers":[{
					"billed_charge": 419.00,
					"npi": [1356502520]
				}]
			},{
				"allowed_amount": 191.28,
				"providers":[{
					"billed_charge": 419.00,
					"npi": [1063916633,1255697850,1316385925]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "952848091"
			},
			"service_code": ["21"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 119.55,
				"providers":[{
					"billed_charge": 242.00,
					"npi": [1760461206]
				}]
			}]
		}]
	},{
		"name": "PR HOSPITAL DISCHARGE DAY,<30 MIN",
		"billing_code_type": "CPT",
		"billing_code_type_version": "2026",
		"billing_code": "99238",
		"description": "Hospital Discharge Day,<30 Min",
		"allowed_amounts":[{
			"tin": {
				"type": "ein",
				"value": "200525526"
			},
			"service_code": ["51"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 150.00,
					"npi": [1932429289]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "201296765"
			},
			"service_code": ["51"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 150.00,
					"npi": [1437180791]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "237064656"
			},
			"service_code": ["22"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 91.21,
				"providers":[{
					"billed_charge": 285.00,
					"npi": [1851633507]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "330662258"
			},
			"service_code": ["21"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 74.63,
				"providers":[{
					"billed_charge": 230.00,
					"npi": [1417928417]
				}]
			},{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 230.00,
					"npi": [1518228188]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "814107771"
			},
			"service_code": ["21"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 107.53,
				"providers":[{
					"billed_charge": 180.00,
					"npi": [1407112923]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "870737748"
			},
			"service_code": ["21"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 82.92,
				"providers":[{
					"billed_charge": 190.93,
					"npi": [1356371421,1992814917]
				}]
			},{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 190.93,
					"npi": [1982024188,1992140396]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "870737749"
			},
			"service_code": ["21"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 78.54,
				"providers":[{
					"billed_charge": 190.93,
					"npi": [1063652162,1669115531]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "871501414"
			},
			"service_code": ["21"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 110.15,
				"providers":[{
					"billed_charge": 663.84,
					"npi": [1013443746]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "951691313"
			},
			"service_code": ["21"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 128.02,
				"providers":[{
					"billed_charge": 291.00,
					"npi": [1033286430]
				}]
			},{
				"allowed_amount": 132.67,
				"billing_code_modifier": ["GC"],
				"providers":[{
					"billed_charge": 291.00,
					"npi": [1376705483]
				}]
			},{
				"allowed_amount": 132.67,
				"providers":[{
					"billed_charge": 291.00,
					"npi": [1033286430]
				}]
			},{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 291.00,
					"npi": [1033286430]
				}]
			}]
		}]
	},{
		"name": "PR HOSPITAL DISCHARGE DAY,>30 MIN",
		"billing_code_type": "CPT",
		"billing_code_type_version": "2026",
		"billing_code": "99239",
		"description": "Hospital Discharge Day,>30 Min",
		"allowed_amounts":[{
			"tin": {
				"type": "ein",
				"value": "200738262"
			},
			"service_code": ["22"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 134.42,
				"providers":[{
					"billed_charge": 351.00,
					"npi": [1609442920]
				}]
			},{
				"allowed_amount": 140.65,
				"providers":[{
					"billed_charge": 351.00,
					"npi": [1609442920,1811381064]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "202693042"
			},
			"service_code": ["21"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 112.02,
				"providers":[{
					"billed_charge": 168.00,
					"npi": [1275793929]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "204770445"
			},
			"service_code": ["21"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 225.46,
					"npi": [1316527435,1881181469]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "330028122"
			},
			"service_code": ["21"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 355.00,
					"npi": [1194889410]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "330515386"
			},
			"service_code": ["21"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 155.71,
				"providers":[{
					"billed_charge": 272.00,
					"npi": [1215332010]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "330830630"
			},
			"service_code": ["21"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 155.71,
				"providers":[{
					"billed_charge": 260.00,
					"npi": [1215332010]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "611677183"
			},
			"service_code": ["21"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 140.65,
				"providers":[{
					"billed_charge": 279.28,
					"npi": [1225091440]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "814463656"
			},
			"service_code": ["22"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 140.03,
				"providers":[{
					"billed_charge": 849.00,
					"npi": [1073581914,1952668931]
				}]
			},{
				"allowed_amount": 146.51,
				"providers":[{
					"billed_charge": 849.00,
					"npi": [1043259310,1306932330]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "851202660"
			},
			"service_code": ["61"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 117.21,
				"providers":[{
					"billed_charge": 229.00,
					"npi": [1609405059]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "870737748"
			},
			"service_code": ["21", "22"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 117.21,
				"providers":[{
					"billed_charge": 279.28,
					"npi": [1609072362]
				}]
			},{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 279.28,
					"npi": [1144571167,1831516863]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "870737749"
			},
			"service_code": ["21"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 117.21,
				"providers":[{
					"billed_charge": 279.28,
					"npi": [1477016392]
				}]
			},{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 279.28,
					"npi": [1528588134]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "884214148"
			},
			"service_code": ["21"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 300.00,
					"npi": [1417619818]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "951691313"
			},
			"service_code": ["21"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 182.59,
				"billing_code_modifier": ["GC"],
				"providers":[{
					"billed_charge": 411.00,
					"npi": [1881958064]
				}]
			},{
				"allowed_amount": 182.59,
				"providers":[{
					"billed_charge": 411.00,
					"npi": [1003028416,1003260951,1912071655,1912345307]
				}]
			},{
				"allowed_amount": 187.54,
				"billing_code_modifier": ["GC"],
				"providers":[{
					"billed_charge": 411.00,
					"npi": [1699937250]
				}]
			},{
				"allowed_amount": 187.54,
				"providers":[{
					"billed_charge": 411.00,
					"npi": [1003028416,1033613765,1245617489,1457433799,1548521511,1780118018,1992060974]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "951965700"
			},
			"service_code": ["21"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 247.96,
				"providers":[{
					"billed_charge": 496.00,
					"npi": [1114160991]
				}]
			},{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 496.00,
					"npi": [1700081080]
				}]
			}]
		}]
	},{
		"name": "PR EMERGENCY DEPARTMENT VISIT MODERATE SEVERITY",
		"billing_code_type": "CPT",
		"billing_code_type_version": "2026",
		"billing_code": "99283",
		"description": "Emergency Department Visit Moderate Severity",
		"allowed_amounts":[{
			"tin": {
				"type": "ein",
				"value": "201064117"
			},
			"service_code": ["23"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 131.63,
				"providers":[{
					"billed_charge": 492.00,
					"npi": [1033372453,1538780127,1831696194,1932100062]
				}]
			},{
				"allowed_amount": 135.52,
				"providers":[{
					"billed_charge": 492.00,
					"npi": [1962439505]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "233059262"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 587.23,
				"billing_code_modifier": ["25"],
				"providers":[{
					"billed_charge": 3677.00,
					"npi": [1245221050]
				}]
			},{
				"allowed_amount": 587.23,
				"providers":[{
					"billed_charge": 3343.00,
					"npi": [1245221050]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "237064656"
			},
			"service_code": ["23"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 76.62,
				"billing_code_modifier": ["FS"],
				"providers":[{
					"billed_charge": 239.00,
					"npi": [1194257832]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "320595156"
			},
			"service_code": ["23"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 83.58,
				"providers":[{
					"billed_charge": 197.00,
					"npi": [1134329964,1700886496]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "330294751"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 576.28,
				"billing_code_modifier": ["25"],
				"providers":[{
					"billed_charge": 992.56,
					"npi": [1073553756]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "330449527"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 3472.25,
				"billing_code_modifier": ["25"],
				"providers":[{
					"billed_charge": 4085.00,
					"npi": [1528041811]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "371705906"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 587.23,
				"providers":[{
					"billed_charge": 3074.00,
					"npi": [1588908388]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "462690851"
			},
			"service_code": ["23"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 131.63,
				"providers":[{
					"billed_charge": 515.00,
					"npi": [1609829142]
				}]
			},{
				"allowed_amount": 135.52,
				"providers":[{
					"billed_charge": 515.00,
					"npi": [1073581914,1952668931]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "464467849"
			},
			"service_code": ["23"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 67.76,
				"billing_code_modifier": ["25"],
				"providers":[{
					"billed_charge": 434.00,
					"npi": [1326479213]
				}]
			},{
				"allowed_amount": 135.52,
				"providers":[{
					"billed_charge": 434.00,
					"npi": [1154777415]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "721561132"
			},
			"service_code": ["22"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 207.00,
				"providers":[{
					"billed_charge": 207.00,
					"npi": [1215916549]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "721561132"
			},
			"service_code": ["20"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 440.00,
				"providers":[{
					"billed_charge": 440.00,
					"npi": [1700910189]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "841343242"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 2616.77,
				"billing_code_modifier": ["25"],
				"providers":[{
					"billed_charge": 2616.77,
					"npi": [1467762435]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "900454894"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 581.49,
				"billing_code_modifier": ["25"],
				"providers":[{
					"billed_charge": 1229.00,
					"npi": [1891938122]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "900950252"
			},
			"service_code": ["23"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 65.81,
				"billing_code_modifier": ["25"],
				"providers":[{
					"billed_charge": 411.00,
					"npi": [1326371055]
				}]
			},{
				"allowed_amount": 67.76,
				"billing_code_modifier": ["25"],
				"providers":[{
					"billed_charge": 411.00,
					"npi": [1518992668]
				}]
			},{
				"allowed_amount": 131.63,
				"providers":[{
					"billed_charge": 411.00,
					"npi": [1063644193,1750585535]
				}]
			},{
				"allowed_amount": 135.52,
				"providers":[{
					"billed_charge": 411.00,
					"npi": [1275572372,1295174761,1326371055,1508248535,1518992668,1770578411]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "941105628"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 660.58,
				"billing_code_modifier": ["25"],
				"providers":[{
					"billed_charge": 2040.00,
					"npi": [1558080861]
				}]
			},{
				"allowed_amount": 660.58,
				"providers":[{
					"billed_charge": 2040.00,
					"npi": [1558080861]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "950651579"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 3472.25,
				"providers":[{
					"billed_charge": 4085.00,
					"npi": [1154304475]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "951691313"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 1235.00,
				"billing_code_modifier": ["25"],
				"providers":[{
					"billed_charge": 2000.00,
					"npi": [1710065933]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "951691313"
			},
			"service_code": ["23"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 111.44,
				"billing_code_modifier": ["25"],
				"providers":[{
					"billed_charge": 244.00,
					"npi": [1205178712,1336503234]
				}]
			},{
				"allowed_amount": 111.44,
				"billing_code_modifier": ["GC"],
				"providers":[{
					"billed_charge": 244.00,
					"npi": [1215375183,1609371293,1730428053,1932318565]
				}]
			},{
				"allowed_amount": 111.44,
				"providers":[{
					"billed_charge": 244.00,
					"npi": [1194896852,1215375183,1225393499,1306473806,1326301862,1336503234,1366622078,1366691115,1366761959,1417496985,1578967907,1649413071,1740468057,1740571165,1831695337,1932318565,1962558312]
				}]
			},{
				"allowed_amount": 111.44,
				"billing_code_modifier": ["GC", "25"],
				"providers":[{
					"billed_charge": 244.00,
					"npi": [1730428053]
				}]
			},{
				"allowed_amount": 113.86,
				"billing_code_modifier": ["GC"],
				"providers":[{
					"billed_charge": 244.00,
					"npi": [1316430499,1972169845]
				}]
			},{
				"allowed_amount": 113.86,
				"providers":[{
					"billed_charge": 244.00,
					"npi": [1205178712,1215564265,1366761959,1649413071,1962745745]
				}]
			},{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 244.00,
					"npi": [1215564265]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "951750445"
			},
			"service_code": ["23"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 135.52,
				"providers":[{
					"billed_charge": 401.00,
					"npi": [1588229835]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "951802779"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 587.23,
				"providers":[{
					"billed_charge": 1971.00,
					"npi": [1467538520]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "952226406"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 581.49,
				"billing_code_modifier": ["25"],
				"providers":[{
					"billed_charge": 1673.00,
					"npi": [1689608150]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "952321786"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 581.49,
				"billing_code_modifier": ["25"],
				"providers":[{
					"billed_charge": 1396.00,
					"npi": [1811080526]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "952367304"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 3472.25,
				"providers":[{
					"billed_charge": 4085.00,
					"npi": [1396728630]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "953154530"
			},
			"service_code": ["22", "23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 576.28,
				"providers":[{
					"billed_charge": 597.00,
					"npi": [1962444059]
				}]
			},{
				"allowed_amount": 422.00,
				"billing_code_modifier": ["25"],
				"providers":[{
					"billed_charge": 597.00,
					"npi": [1962444059]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "953696850"
			},
			"service_code": ["23"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 80.10,
				"billing_code_modifier": ["57"],
				"providers":[{
					"billed_charge": 133.00,
					"npi": [1346634219]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "953782169"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 3472.25,
				"providers":[{
					"billed_charge": 4085.00,
					"npi": [1407839921]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "956003843"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 562.91,
				"billing_code_modifier": ["25"],
				"providers":[{
					"billed_charge": 3071.46,
					"npi": [1376513754]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "990970557"
			},
			"service_code": ["23"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 135.17,
				"providers":[{
					"billed_charge": 549.00,
					"npi": [1558557769]
				}]
			}]
		}]
	},{
		"name": "PR EMERGENCY DEPARTMENT VISIT HIGH/URGENT SEVERITY",
		"billing_code_type": "CPT",
		"billing_code_type_version": "2026",
		"billing_code": "99284",
		"description": "Emergency Department Visit High/Urgent Severity",
		"allowed_amounts":[{
			"tin": {
				"type": "ein",
				"value": "201064117"
			},
			"service_code": ["23"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 223.44,
				"billing_code_modifier": ["57"],
				"providers":[{
					"billed_charge": 837.00,
					"npi": [1669714523]
				}]
			},{
				"allowed_amount": 223.44,
				"providers":[{
					"billed_charge": 837.00,
					"npi": [1033372453,1144433731,1174865349,1326076290,1366903486,1538780127,1578591517,1669403911,1710916283,1881622702,1972531838]
				}]
			},{
				"allowed_amount": 230.45,
				"billing_code_modifier": ["25"],
				"providers":[{
					"billed_charge": 837.00,
					"npi": [1932100062]
				}]
			},{
				"allowed_amount": 230.45,
				"providers":[{
					"billed_charge": 837.00,
					"npi": [1144433731,1174865349,1326076290,1326138892,1356091383,1366903486,1447756259,1669403911,1710916283,1801425244,1932100062,1972531838]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "237064656"
			},
			"service_code": ["23"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 130.28,
				"providers":[{
					"billed_charge": 472.00,
					"npi": [1619293495,1740548007,1871099333]
				}]
			},{
				"allowed_amount": 130.44,
				"providers":[{
					"billed_charge": 472.00,
					"npi": [1578672184]
				}]
			},{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 472.00,
					"npi": [1598044117]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "237064656"
			},
			"service_code": ["23"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"billing_code_modifier": ["25"],
				"providers":[{
					"billed_charge": 472.00,
					"npi": [1366703233]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "320595156"
			},
			"service_code": ["23"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 142.13,
				"providers":[{
					"billed_charge": 373.00,
					"npi": [1083293443,1265402648,1306034467,1609175173,1740067396]
				}]
			},{
				"allowed_amount": 142.30,
				"providers":[{
					"billed_charge": 373.00,
					"npi": [1609175173,1669424149]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "330420041"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 895.10,
				"billing_code_modifier": ["25"],
				"providers":[{
					"billed_charge": 3304.26,
					"npi": [1568469997]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "330449527"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 4629.95,
				"billing_code_modifier": ["25"],
				"providers":[{
					"billed_charge": 5447.00,
					"npi": [1528041811]
				}]
			},{
				"allowed_amount": 4629.95,
				"providers":[{
					"billed_charge": 5447.00,
					"npi": [1528041811]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "330599494"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 5422.00,
					"npi": [1184722779]
				}]
			},{
				"allowed_amount": 4337.60,
				"billing_code_modifier": ["25"],
				"providers":[{
					"billed_charge": 5422.00,
					"npi": [1184722779]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "461246570"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 895.10,
				"billing_code_modifier": ["25"],
				"providers":[{
					"billed_charge": 7295.00,
					"npi": [1679816201]
				}]
			},{
				"allowed_amount": 895.10,
				"providers":[{
					"billed_charge": 8025.00,
					"npi": [1679816201]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "462690851"
			},
			"service_code": ["23"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 111.72,
				"billing_code_modifier": ["25"],
				"providers":[{
					"billed_charge": 868.00,
					"npi": [1114196862]
				}]
			},{
				"allowed_amount": 115.23,
				"billing_code_modifier": ["25"],
				"providers":[{
					"billed_charge": 868.00,
					"npi": [1073581914,1326276072]
				}]
			},{
				"allowed_amount": 223.44,
				"providers":[{
					"billed_charge": 868.00,
					"npi": [1073581914,1164614012,1306932330,1679927859,1952668931]
				}]
			},{
				"allowed_amount": 230.45,
				"providers":[{
					"billed_charge": 868.00,
					"npi": [1043259310,1073581914,1164614012,1174835359,1316039977,1326072984,1326276072]
				}]
			},{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 868.00,
					"npi": [1174835359]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "464467849"
			},
			"service_code": ["23"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 230.45,
				"providers":[{
					"billed_charge": 828.00,
					"npi": [1336556604,1649692716,1851051577]
				}]
			},{
				"allowed_amount": 0.00,
				"billing_code_modifier": ["SA"],
				"providers":[{
					"billed_charge": 828.00,
					"npi": [1316168479]
				}]
			},{
				"allowed_amount": 828.00,
				"providers":[{
					"billed_charge": 828.00,
					"npi": [1396462917]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "540505979"
			},
			"service_code": ["23"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 334.00,
				"billing_code_modifier": ["25"],
				"providers":[{
					"billed_charge": 334.00,
					"npi": [1619928017]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "621650578"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 5608.56,
				"providers":[{
					"billed_charge": 5608.56,
					"npi": [1720031636]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "721561119"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 6204.00,
				"billing_code_modifier": ["25"],
				"providers":[{
					"billed_charge": 6204.00,
					"npi": [1427181007]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "721561132"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 2720.00,
				"billing_code_modifier": ["25"],
				"providers":[{
					"billed_charge": 2720.00,
					"npi": [1700910189]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "721561134"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 2864.00,
				"billing_code_modifier": ["25", "ER"],
				"providers":[{
					"billed_charge": 2864.00,
					"npi": [1265065445]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "811641281"
			},
			"service_code": ["23"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 230.45,
				"providers":[{
					"billed_charge": 902.00,
					"npi": [1063807048,1326087925]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "841343242"
			},
			"service_code": ["23"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 307.96,
				"providers":[{
					"billed_charge": 307.96,
					"npi": [1477590339]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "871451688"
			},
			"service_code": ["23"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 115.23,
				"billing_code_modifier": ["25"],
				"providers":[{
					"billed_charge": 1110.60,
					"npi": [1295024800]
				}]
			},{
				"allowed_amount": 0.00,
				"billing_code_modifier": ["25"],
				"providers":[{
					"billed_charge": 1129.57,
					"npi": [1124698139]
				}]
			},{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 1129.57,
					"npi": [1124698139]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "900950252"
			},
			"service_code": ["23"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 111.72,
				"billing_code_modifier": ["25"],
				"providers":[{
					"billed_charge": 613.00,
					"npi": [1518992668,1619293495]
				}]
			},{
				"allowed_amount": 115.23,
				"billing_code_modifier": ["25"],
				"providers":[{
					"billed_charge": 613.00,
					"npi": [1376757732]
				}]
			},{
				"allowed_amount": 223.44,
				"providers":[{
					"billed_charge": 613.00,
					"npi": [1326252156,1578910840,1619293495]
				}]
			},{
				"allowed_amount": 230.45,
				"providers":[{
					"billed_charge": 613.00,
					"npi": [1073965059,1275572372,1295174761,1326371055,1376757732,1376833038,1447511894,1508248535,1518992668,1578910840,1619293495,1750312351,1760828958,1770578411,1811436413,1861947012,1891242442]
				}]
			},{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 613.00,
					"npi": [1376833038]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "940760193"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 3048.00,
					"npi": [1932197258]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "941105628"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 1006.90,
				"billing_code_modifier": ["25"],
				"providers":[{
					"billed_charge": 3342.00,
					"npi": [1558080861]
				},{
					"billed_charge": 3756.00,
					"npi": [1558080861]
				}]
			},{
				"allowed_amount": 3342.00,
				"billing_code_modifier": ["25"],
				"providers":[{
					"billed_charge": 3342.00,
					"npi": [1558080861]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "941105628"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 150.00,
				"billing_code_modifier": ["25"],
				"providers":[{
					"billed_charge": 3342.00,
					"npi": [1013062769]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "942494000"
			},
			"service_code": ["23"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 699.20,
				"providers":[{
					"billed_charge": 874.00,
					"npi": [1073554002,1710387436]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "942494000"
			},
			"service_code": ["23"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 230.36,
				"providers":[{
					"billed_charge": 874.00,
					"npi": [1720489024]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "942761692"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 925.81,
				"billing_code_modifier": ["25"],
				"providers":[{
					"billed_charge": 4266.00,
					"npi": [1356389878]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "951684089"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 1942.32,
				"billing_code_modifier": ["25"],
				"providers":[{
					"billed_charge": 3884.63,
					"npi": [1841277704]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "951691313"
			},
			"service_code": ["23"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 193.29,
				"billing_code_modifier": ["GC"],
				"providers":[{
					"billed_charge": 415.00,
					"npi": [1528483955,1578967907]
				}]
			},{
				"allowed_amount": 193.29,
				"billing_code_modifier": ["FS"],
				"providers":[{
					"billed_charge": 415.00,
					"npi": [1740571165]
				}]
			},{
				"allowed_amount": 193.29,
				"providers":[{
					"billed_charge": 415.00,
					"npi": [1083713655,1528483955,1932318565,1992202964]
				}]
			},{
				"allowed_amount": 193.29,
				"billing_code_modifier": ["GC", "25"],
				"providers":[{
					"billed_charge": 415.00,
					"npi": [1962745745]
				}]
			},{
				"allowed_amount": 189.50,
				"billing_code_modifier": ["GC"],
				"providers":[{
					"billed_charge": 415.00,
					"npi": [1215375183,1225393499,1326301862,1568959161,1710321278,1740778653,1861888471]
				}]
			},{
				"allowed_amount": 189.50,
				"providers":[{
					"billed_charge": 415.00,
					"npi": [1013361815,1184071516,1194896852,1265867683,1326400870,1336503234,1366612848,1417496985,1427442086,1649413071,1669932018,1669962270,1679035661,1740571165,1861880817,1912526757,1952472706,1952835357]
				}]
			},{
				"allowed_amount": 189.50,
				"billing_code_modifier": ["GC", "25"],
				"providers":[{
					"billed_charge": 415.00,
					"npi": [1326301862]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "951750445"
			},
			"service_code": ["23"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 29.61,
				"providers":[{
					"billed_charge": 682.00,
					"npi": [1194112805]
				}]
			},{
				"allowed_amount": 223.44,
				"providers":[{
					"billed_charge": 725.00,
					"npi": [1023752854,1538522396]
				}]
			},{
				"allowed_amount": 230.45,
				"providers":[{
					"billed_charge": 682.00,
					"npi": [1023100039,1184890444,1225060742]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "952367304"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 4629.95,
				"billing_code_modifier": ["25"],
				"providers":[{
					"billed_charge": 5447.00,
					"npi": [1396728630]
				}]
			},{
				"allowed_amount": 7234.32,
				"providers":[{
					"billed_charge": 5447.00,
					"npi": [1396728630]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "953056292"
			},
			"service_code": ["23"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 992.00,
				"providers":[{
					"billed_charge": 992.00,
					"npi": [1942521927]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "953154530"
			},
			"service_code": ["23"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 218.24,
				"billing_code_modifier": ["57"],
				"providers":[{
					"billed_charge": 616.00,
					"npi": [1184290777,1558371229]
				}]
			},{
				"allowed_amount": 218.24,
				"providers":[{
					"billed_charge": 616.00,
					"npi": [1558371229,1962444059]
				}]
			},{
				"allowed_amount": 224.30,
				"billing_code_modifier": ["57"],
				"providers":[{
					"billed_charge": 616.00,
					"npi": [1801941463]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "953154530"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 697.60,
				"billing_code_modifier": ["25"],
				"providers":[{
					"billed_charge": 1381.00,
					"npi": [1962444059]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "953782169"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 4629.95,
				"billing_code_modifier": ["25"],
				"providers":[{
					"billed_charge": 5447.00,
					"npi": [1407839921]
				}]
			},{
				"allowed_amount": 4629.95,
				"providers":[{
					"billed_charge": 5447.00,
					"npi": [1407839921]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "954615787"
			},
			"service_code": ["23"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 235.13,
				"providers":[{
					"billed_charge": 709.00,
					"npi": [1285810689]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "956003843"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 865.68,
				"billing_code_modifier": ["25"],
				"providers":[{
					"billed_charge": 5853.08,
					"npi": [1376513754,1457321317]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "956064971"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 895.10,
				"billing_code_modifier": ["25"],
				"providers":[{
					"billed_charge": 3798.00,
					"npi": [1063495190]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "991581927"
			},
			"service_code": ["23"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 225.39,
				"providers":[{
					"billed_charge": 1458.00,
					"npi": [1093166480]
				}]
			},{
				"allowed_amount": 230.36,
				"providers":[{
					"billed_charge": 1458.00,
					"npi": [1619175759]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "994231206"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 1630.00,
				"billing_code_modifier": ["25"],
				"providers":[{
					"billed_charge": 1630.00,
					"npi": [1184429185]
				}]
			}]
		}]
	},{
		"name": "PR EMERGENCY DEPT VISIT HIGH SEVERITY&THREAT FUNC",
		"billing_code_type": "CPT",
		"billing_code_type_version": "2026",
		"billing_code": "99285",
		"description": "Emergency Dept Visit High Severity&Threat Funcj",
		"allowed_amounts":[{
			"tin": {
				"type": "ein",
				"value": "201064117"
			},
			"service_code": ["23"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 166.75,
				"billing_code_modifier": ["25"],
				"providers":[{
					"billed_charge": 1211.00,
					"npi": [1366903486]
				}]
			},{
				"allowed_amount": 324.62,
				"providers":[{
					"billed_charge": 1211.00,
					"npi": [1033372453,1144433731,1326076290,1326138892,1356091383,1366903486,1538780127,1801425244,1831696194,1932100062,1962430231,1962439505,1972531838]
				}]
			},{
				"allowed_amount": 333.51,
				"providers":[{
					"billed_charge": 1211.00,
					"npi": [1144433731,1326076290,1356091383,1366903486,1376571505,1538780127,1578591517,1669403911,1669714523,1710916283,1801425244,1831696194,1881622702,1932100062,1962430231,1962439505,1972531838]
				}]
			},{
				"allowed_amount": 0.00,
				"billing_code_modifier": ["25"],
				"providers":[{
					"billed_charge": 1211.00,
					"npi": [1962439505]
				}]
			},{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 1211.00,
					"npi": [1326076290]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "233059262"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 1281.24,
				"billing_code_modifier": ["25"],
				"providers":[{
					"billed_charge": 7809.00,
					"npi": [1245221050]
				},{
					"billed_charge": 8590.00,
					"npi": [1245221050]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "237064656"
			},
			"service_code": ["23"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 188.54,
				"providers":[{
					"billed_charge": 684.00,
					"npi": [1871732214]
				}]
			},{
				"allowed_amount": 189.50,
				"billing_code_modifier": ["25"],
				"providers":[{
					"billed_charge": 684.00,
					"npi": [1710286505]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "261541568"
			},
			"service_code": ["23"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 166.75,
				"billing_code_modifier": ["25"],
				"providers":[{
					"billed_charge": 515.00,
					"npi": [1477714327]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "320595156"
			},
			"service_code": ["23"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 205.68,
				"providers":[{
					"billed_charge": 548.00,
					"npi": [1083293443,1134329964,1306034467,1609175173]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "330294751"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 172.27,
				"billing_code_modifier": ["25"],
				"providers":[{
					"billed_charge": 2241.64,
					"npi": [1073553756]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "461246570"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 1193.21,
				"billing_code_modifier": ["25"],
				"providers":[{
					"billed_charge": 8236.00,
					"npi": [1679816201]
				}]
			},{
				"allowed_amount": 1281.24,
				"billing_code_modifier": ["25"],
				"providers":[{
					"billed_charge": 8236.00,
					"npi": [1679816201]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "462690851"
			},
			"service_code": ["23"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 162.31,
				"billing_code_modifier": ["25"],
				"providers":[{
					"billed_charge": 1259.00,
					"npi": [1164614012,1366486243,1770534067,1942230297]
				}]
			},{
				"allowed_amount": 166.75,
				"billing_code_modifier": ["25"],
				"providers":[{
					"billed_charge": 1259.00,
					"npi": [1265460893,1326072984,1942230297]
				}]
			},{
				"allowed_amount": 324.62,
				"billing_code_modifier": ["25"],
				"providers":[{
					"billed_charge": 1259.00,
					"npi": [1306932330,1316039977,1366486243,1609829142]
				}]
			},{
				"allowed_amount": 324.62,
				"billing_code_modifier": ["57"],
				"providers":[{
					"billed_charge": 1259.00,
					"npi": [1942230297]
				}]
			},{
				"allowed_amount": 324.62,
				"billing_code_modifier": ["GC"],
				"providers":[{
					"billed_charge": 1259.00,
					"npi": [1679927859]
				}]
			},{
				"allowed_amount": 324.62,
				"providers":[{
					"billed_charge": 1259.00,
					"npi": [1093749665,1114196862,1164614012,1174835359,1265460893,1306932330,1316039977,1326072984,1366486243,1609829142,1679927859,1700870912,1770534067,1942230297]
				}]
			},{
				"allowed_amount": 333.51,
				"billing_code_modifier": ["25"],
				"providers":[{
					"billed_charge": 1259.00,
					"npi": [1093749665,1265460893,1306932330,1326276072,1942230297]
				}]
			},{
				"allowed_amount": 333.51,
				"billing_code_modifier": ["57"],
				"providers":[{
					"billed_charge": 1259.00,
					"npi": [1942230297]
				}]
			},{
				"allowed_amount": 333.51,
				"providers":[{
					"billed_charge": 1259.00,
					"npi": [1043259310,1073581914,1093749665,1164614012,1174835359,1184244014,1265460893,1306932330,1316039977,1326072984,1326276072,1366486243,1609829142,1679927859,1689834012,1700870912,1770534067,1942230297,1952668931]
				}]
			},{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 1259.00,
					"npi": [1164614012,1306932330,1942230297]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "463490058"
			},
			"service_code": ["23"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 1722.27,
				"providers":[{
					"billed_charge": 1722.27,
					"npi": [1053379677]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "464467849"
			},
			"service_code": ["23"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 333.51,
				"providers":[{
					"billed_charge": 1213.00,
					"npi": [1487795811,1649692716,1891012019]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "811641281"
			},
			"service_code": ["23"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 333.51,
				"providers":[{
					"billed_charge": 1329.00,
					"npi": [1134538929]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "870629690"
			},
			"service_code": ["23"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 1272.00,
					"npi": [1851353999]
				}]
			},{
				"allowed_amount": 1272.00,
				"providers":[{
					"billed_charge": 1272.00,
					"npi": [1851353999]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "871451688"
			},
			"service_code": ["23"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 324.62,
				"providers":[{
					"billed_charge": 1722.27,
					"npi": [1124698139,1750902540,1922216795]
				}]
			},{
				"allowed_amount": 333.51,
				"billing_code_modifier": ["25"],
				"providers":[{
					"billed_charge": 1770.27,
					"npi": [1124698139]
				}]
			},{
				"allowed_amount": 333.51,
				"providers":[{
					"billed_charge": 1770.27,
					"npi": [1134590243]
				}]
			},{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 1770.27,
					"npi": [1124413869]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "900950252"
			},
			"service_code": ["23"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 324.62,
				"billing_code_modifier": ["GC"],
				"providers":[{
					"billed_charge": 876.00,
					"npi": [1326252156,1750312351]
				}]
			},{
				"allowed_amount": 324.62,
				"providers":[{
					"billed_charge": 876.00,
					"npi": [1326252156,1326371055,1376757732,1619293495,1750585535,1770578411,1811436413,1861947012]
				}]
			},{
				"allowed_amount": 333.51,
				"billing_code_modifier": ["GC"],
				"providers":[{
					"billed_charge": 876.00,
					"npi": [1376757732]
				}]
			},{
				"allowed_amount": 333.51,
				"providers":[{
					"billed_charge": 876.00,
					"npi": [1093745812,1275572372,1326138892,1326252156,1326371055,1376757732,1518992668,1578910840,1639794134,1750312351,1770578411,1891242442,1952454449]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "921786783"
			},
			"service_code": ["23"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 340.38,
				"providers":[{
					"billed_charge": 953.00,
					"npi": [1114626017]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "921846432"
			},
			"service_code": ["23"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 324.62,
				"providers":[{
					"billed_charge": 1237.00,
					"npi": [1629113733]
				}]
			},{
				"allowed_amount": 333.51,
				"billing_code_modifier": ["25"],
				"providers":[{
					"billed_charge": 1237.00,
					"npi": [1881893519]
				}]
			},{
				"allowed_amount": 333.51,
				"providers":[{
					"billed_charge": 1237.00,
					"npi": [1811924764,1821066457]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "931450460"
			},
			"service_code": ["23"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 1282.00,
				"providers":[{
					"billed_charge": 1282.00,
					"npi": [1407874605]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "940760193"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 863.00,
					"npi": [1932197258]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "941105628"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 1441.26,
				"billing_code_modifier": ["25"],
				"providers":[{
					"billed_charge": 6316.00,
					"npi": [1558080861]
				}]
			},{
				"allowed_amount": 6000.20,
				"providers":[{
					"billed_charge": 6316.00,
					"npi": [1851417547]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "942494000"
			},
			"service_code": ["23"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 333.51,
				"providers":[{
					"billed_charge": 1286.00,
					"npi": [1124204383]
				}]
			},{
				"allowed_amount": 1028.80,
				"providers":[{
					"billed_charge": 1286.00,
					"npi": [1316470933,1821483926]
				}]
			},{
				"allowed_amount": 1286.00,
				"providers":[{
					"billed_charge": 1286.00,
					"npi": [1952643207]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "951684089"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 3937.13,
				"billing_code_modifier": ["25"],
				"providers":[{
					"billed_charge": 7874.25,
					"npi": [ ]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "951691313"
			},
			"service_code": ["23"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 274.24,
				"billing_code_modifier": ["GC"],
				"providers":[{
					"billed_charge": 600.00,
					"npi": [1184071516,1568959161,1629118518]
				}]
			},{
				"allowed_amount": 274.24,
				"billing_code_modifier": ["FS"],
				"providers":[{
					"billed_charge": 600.00,
					"npi": [1326225368]
				}]
			},{
				"allowed_amount": 274.24,
				"providers":[{
					"billed_charge": 600.00,
					"npi": [1073740205,1326225368,1366612848]
				}]
			},{
				"allowed_amount": 280.80,
				"billing_code_modifier": ["GC"],
				"providers":[{
					"billed_charge": 600.00,
					"npi": [1528483955]
				}]
			},{
				"allowed_amount": 280.80,
				"providers":[{
					"billed_charge": 600.00,
					"npi": [1952472706]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "951750445"
			},
			"service_code": ["23"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 324.62,
				"providers":[{
					"billed_charge": 1050.00,
					"npi": [1225060742,1639532344]
				}]
			},{
				"allowed_amount": 333.51,
				"providers":[{
					"billed_charge": 987.00,
					"npi": [1760915581]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "953782169"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 5787.65,
				"billing_code_modifier": ["25"],
				"providers":[{
					"billed_charge": 6809.00,
					"npi": [1407839921]
				}]
			},{
				"allowed_amount": 5787.65,
				"providers":[{
					"billed_charge": 6809.00,
					"npi": [1407839921]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "956003843"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 1219.52,
				"billing_code_modifier": ["25"],
				"providers":[{
					"billed_charge": 7157.37,
					"npi": [1457321317]
				}]
			},{
				"allowed_amount": 1246.40,
				"billing_code_modifier": ["25"],
				"providers":[{
					"billed_charge": 7157.37,
					"npi": [1457321317]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "990970557"
			},
			"service_code": ["23"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 333.77,
				"providers":[{
					"billed_charge": 1350.00,
					"npi": [1780846709]
				}]
			},{
				"allowed_amount": 326.90,
				"providers":[{
					"billed_charge": 1350.00,
					"npi": [1982898151]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "991581927"
			},
			"service_code": ["23"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 333.77,
				"providers":[{
					"billed_charge": 2110.00,
					"npi": [1861613515]
				}]
			}]
		}]
	},{
		"name": "PR CRITICAL CARE, E/M 30-74 MINUTES",
		"billing_code_type": "CPT",
		"billing_code_type_version": "2026",
		"billing_code": "99291",
		"description": "Critical Care, E/M 30-74 Minutes",
		"allowed_amounts":[{
			"tin": {
				"type": "ein",
				"value": "201064117"
			},
			"service_code": ["23"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 198.05,
				"billing_code_modifier": ["25"],
				"providers":[{
					"billed_charge": 1495.00,
					"npi": [1326138892]
				}]
			},{
				"allowed_amount": 366.64,
				"providers":[{
					"billed_charge": 1495.00,
					"npi": [1326076290,1669403911,1932100062]
				}]
			},{
				"allowed_amount": 396.10,
				"providers":[{
					"billed_charge": 1495.00,
					"npi": [1174865349]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "237064656"
			},
			"service_code": ["21"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 223.40,
				"providers":[{
					"billed_charge": 1139.00,
					"npi": [1023373040]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "271332228"
			},
			"service_code": ["21"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 254.98,
				"billing_code_modifier": ["25"],
				"providers":[{
					"billed_charge": 641.00,
					"npi": [1649500141]
				}]
			},{
				"allowed_amount": 254.98,
				"providers":[{
					"billed_charge": 641.00,
					"npi": [1649500141]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "320595156"
			},
			"service_code": ["23"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 254.98,
				"providers":[{
					"billed_charge": 893.00,
					"npi": [1609175173]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "330449527"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 13131.65,
				"providers":[{
					"billed_charge": 15449.00,
					"npi": [1528041811]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "330610185"
			},
			"service_code": ["21"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 243.71,
				"providers":[{
					"billed_charge": 881.00,
					"npi": [1154357002]
				}]
			},{
				"allowed_amount": 254.98,
				"providers":[{
					"billed_charge": 881.00,
					"npi": [1154357002]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "424197937"
			},
			"service_code": ["21"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 203.09,
				"billing_code_modifier": ["25"],
				"providers":[{
					"billed_charge": 549.00,
					"npi": [1366459190]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "462690851"
			},
			"service_code": ["23"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 366.64,
				"providers":[{
					"billed_charge": 1549.00,
					"npi": [1043259310,1326072984,1326276072,1942230297]
				}]
			},{
				"allowed_amount": 396.10,
				"billing_code_modifier": ["25"],
				"providers":[{
					"billed_charge": 1549.00,
					"npi": [1093749665,1326276072]
				}]
			},{
				"allowed_amount": 396.10,
				"providers":[{
					"billed_charge": 1549.00,
					"npi": [1174835359,1265460893,1316039977,1326276072,1679927859,1700870912,1942230297]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "464467849"
			},
			"service_code": ["23"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 396.10,
				"billing_code_modifier": ["25"],
				"providers":[{
					"billed_charge": 1569.00,
					"npi": [1649692716]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "465756798"
			},
			"service_code": ["21"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 253.86,
				"providers":[{
					"billed_charge": 571.57,
					"npi": [1427169069]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "473990550"
			},
			"service_code": ["21"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 183.32,
				"billing_code_modifier": ["25"],
				"providers":[{
					"billed_charge": 1863.00,
					"npi": [1497944805]
				}]
			},{
				"allowed_amount": 1863.00,
				"providers":[{
					"billed_charge": 1863.00,
					"npi": [1992093173]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "611677183"
			},
			"service_code": ["21"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 751.88,
					"npi": [1104385202]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "814978794"
			},
			"service_code": ["21"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 1693.00,
					"npi": [1417308651]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "870737749"
			},
			"service_code": ["21"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 751.88,
					"npi": [1891946950]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "871451688"
			},
			"service_code": ["21", "23"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 366.64,
				"providers":[{
					"billed_charge": 2456.43,
					"npi": [1124698139]
				}]
			},{
				"allowed_amount": 396.10,
				"providers":[{
					"billed_charge": 2040.56,
					"npi": [1124698139]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "871501414"
			},
			"service_code": ["21"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 396.10,
				"providers":[{
					"billed_charge": 2040.56,
					"npi": [1013443746,1912155532,1962586917]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "900950252"
			},
			"service_code": ["23"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 366.64,
				"providers":[{
					"billed_charge": 1214.00,
					"npi": [1063644193,1619293495,1760828958]
				}]
			},{
				"allowed_amount": 396.10,
				"providers":[{
					"billed_charge": 1214.00,
					"npi": [1093745812,1326252156,1376757732,1508248535,1578910840,1861947012,1952454449]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "943167314"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 16850.00,
				"billing_code_modifier": ["25"],
				"providers":[{
					"billed_charge": 16850.00,
					"npi": [1093712374]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "951684089"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 5795.45,
				"billing_code_modifier": ["25"],
				"providers":[{
					"billed_charge": 12598.80,
					"npi": [ ]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "951691313"
			},
			"service_code": ["23"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 339.97,
				"billing_code_modifier": ["25"],
				"providers":[{
					"billed_charge": 744.00,
					"npi": [1285953364]
				}]
			},{
				"allowed_amount": 339.97,
				"billing_code_modifier": ["GC"],
				"providers":[{
					"billed_charge": 744.00,
					"npi": [1215375183]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "951965700"
			},
			"service_code": ["21"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 992.00,
					"npi": [1700081080,1922032283]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "956003843"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 1712.99,
				"billing_code_modifier": ["25"],
				"providers":[{
					"billed_charge": 15394.07,
					"npi": [1457321317]
				}]
			}]
		}]
	},{
		"name": "PR COMPLEX E/M VISIT ADD ON",
		"billing_code_type": "HCPCS",
		"billing_code_type_version": "2026",
		"billing_code": "G2211",
		"description": "Complex E/M Visit Add On",
		"allowed_amounts":[{
			"tin": {
				"type": "ein",
				"value": "237064656"
			},
			"service_code": ["22"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 17.99,
				"providers":[{
					"billed_charge": 70.00,
					"npi": [1346470408]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "237064656"
			},
			"service_code": ["22"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 16.40,
				"providers":[{
					"billed_charge": 70.00,
					"npi": [1801207006]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "237064656"
			},
			"service_code": ["22"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 16.40,
				"providers":[{
					"billed_charge": 70.00,
					"npi": [1801005152]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "330102201"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 19.62,
				"providers":[{
					"billed_charge": 28.00,
					"npi": [1396204426]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "824454688"
			},
			"service_code": ["11", "02"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 17.16,
				"billing_code_modifier": ["95"],
				"providers":[{
					"billed_charge": 74.00,
					"npi": [1356876064]
				}]
			},{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 74.00,
					"npi": [1356876064]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "870737748"
			},
			"service_code": ["11", "02"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 16.35,
				"providers":[{
					"billed_charge": 59.29,
					"npi": [1528696127,1568090579,1790139434,1902337801]
				}]
			},{
				"allowed_amount": 23.72,
				"billing_code_modifier": ["95"],
				"providers":[{
					"billed_charge": 59.29,
					"npi": [1790139434]
				}]
			},{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 59.29,
					"npi": [1568090579,1790139434]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "870737749"
			},
			"service_code": ["11", "02"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 16.35,
				"providers":[{
					"billed_charge": 59.29,
					"npi": [1770223307,1790030005,1801885322]
				}]
			},{
				"allowed_amount": 18.51,
				"providers":[{
					"billed_charge": 59.29,
					"npi": [1528345220,1710322904]
				}]
			},{
				"allowed_amount": 23.72,
				"providers":[{
					"billed_charge": 59.29,
					"npi": [1396301529]
				}]
			},{
				"allowed_amount": 0.00,
				"billing_code_modifier": ["95"],
				"providers":[{
					"billed_charge": 59.29,
					"npi": [1295184893,1770223307]
				}]
			},{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 59.29,
					"npi": [1306370747,1528345220]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "951691313"
			},
			"service_code": ["10", "11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 26.16,
				"billing_code_modifier": ["GC"],
				"providers":[{
					"billed_charge": 58.00,
					"npi": [1164818035]
				}]
			},{
				"allowed_amount": 26.16,
				"billing_code_modifier": ["95"],
				"providers":[{
					"billed_charge": 58.00,
					"npi": [1164818035,1801316526]
				}]
			},{
				"allowed_amount": 26.16,
				"providers":[{
					"billed_charge": 58.00,
					"npi": [1063916633,1144726936,1164818035,1235167321,1316385925,1336356203,1356502520,1356796536,1427140839,1447460050,1588846380,1659634699,1841721172,1952490807]
				}]
			},{
				"allowed_amount": 30.17,
				"providers":[{
					"billed_charge": 58.00,
					"npi": [1275604035,1386140085,1528420619,1598029332,1659634699,1730247974,1750407300,1811919244]
				}]
			},{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 58.00,
					"npi": [1356502520]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "953696850"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 21.29,
				"providers":[{
					"billed_charge": 65.00,
					"npi": [1346634219]
				}]
			}]
		}]
	},{
		"name": "PR CHG SARSCOV2 & INF A&B AMP PRB",
		"billing_code_type": "CPT",
		"billing_code_type_version": "2026",
		"billing_code": "87636",
		"description": "Sarscov2 & Inf a&B Amp Prb",
		"allowed_amounts":[{
			"tin": {
				"type": "ein",
				"value": "208785833"
			},
			"service_code": ["20"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 148.39,
				"billing_code_modifier": ["QW"],
				"providers":[{
					"billed_charge": 175.00,
					"npi": [1013163914,1275601478]
				}]
			},{
				"allowed_amount": 0.00,
				"billing_code_modifier": ["QW"],
				"providers":[{
					"billed_charge": 175.00,
					"npi": [1275601478]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "330449527"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 277.10,
				"providers":[{
					"billed_charge": 326.00,
					"npi": [1528041811]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "330456095"
			},
			"service_code": ["21"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"billing_code_modifier": ["26"],
				"providers":[{
					"billed_charge": 8.00,
					"npi": [1972690790]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "854046682"
			},
			"service_code": ["20"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 148.39,
				"billing_code_modifier": ["QW"],
				"providers":[{
					"billed_charge": 180.00,
					"npi": [1083348882]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "870737749"
			},
			"service_code": ["81"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 499.21,
					"npi": [1427034990]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "941105628"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 489.00,
					"npi": [1013062769]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "951684089"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 367.47,
				"providers":[{
					"billed_charge": 734.94,
					"npi": [ ]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "952367304"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 277.10,
				"providers":[{
					"billed_charge": 326.00,
					"npi": [1396728630]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "952589913"
			},
			"service_code": ["21", "22", "23"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"billing_code_modifier": ["26"],
				"providers":[{
					"billed_charge": 30.00,
					"npi": [1447220124]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "956003843"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 228.21,
				"providers":[{
					"billed_charge": 702.98,
					"npi": [1457321317]
				},{
					"billed_charge": 450.00,
					"npi": [1457321317]
				}]
			}]
		}]
	},{
		"name": "PR SUBSEQUENT PRENATAL CARE",
		"billing_code_type": "CPT",
		"billing_code_type_version": "2026",
		"billing_code": "0502F",
		"description": "Subsequent Prenatal Care",
		"allowed_amounts":[{
			"tin": {
				"type": "ein",
				"value": "870737749"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 0.01,
					"npi": [1033997309,1205973948,1457500779,1538123732,1598001133,1720485287]
				}]
			}]
		}]
	},{
		"name": "PR GROUND MILEAGE",
		"billing_code_type": "HCPCS",
		"billing_code_type_version": "2026",
		"billing_code": "A0425",
		"description": "Ground Mileage",
		"allowed_amounts":[{
			"tin": {
				"type": "ein",
				"value": "752474011"
			},
			"service_code": ["41"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 16.15,
				"billing_code_modifier": ["RH"],
				"providers":[{
					"billed_charge": 167.60,
					"npi": [1578597886]
				}]
			},{
				"allowed_amount": 104.95,
				"billing_code_modifier": ["RH"],
				"providers":[{
					"billed_charge": 1089.40,
					"npi": [1578597886]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "900334466"
			},
			"service_code": ["41"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"billing_code_modifier": ["SH"],
				"providers":[{
					"billed_charge": 48.00,
					"npi": [1497024731]
				}]
			},{
				"allowed_amount": 0.00,
				"billing_code_modifier": ["RH"],
				"providers":[{
					"billed_charge": 1056.00,
					"npi": [1497024731]
				}]
			},{
				"allowed_amount": 192.00,
				"billing_code_modifier": ["RH"],
				"providers":[{
					"billed_charge": 192.00,
					"npi": [1497024731]
				}]
			},{
				"allowed_amount": 240.00,
				"billing_code_modifier": ["SH"],
				"providers":[{
					"billed_charge": 240.00,
					"npi": [1497024731]
				}]
			},{
				"allowed_amount": 48.00,
				"billing_code_modifier": ["SH"],
				"providers":[{
					"billed_charge": 48.00,
					"npi": [1497024731]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "920288960"
			},
			"service_code": ["41"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 473.00,
				"billing_code_modifier": ["RH"],
				"providers":[{
					"billed_charge": 473.00,
					"npi": [1770206450]
				}]
			},{
				"allowed_amount": 645.00,
				"billing_code_modifier": ["RH"],
				"providers":[{
					"billed_charge": 645.00,
					"npi": [1770206450]
				}]
			},{
				"allowed_amount": 688.00,
				"billing_code_modifier": ["RH"],
				"providers":[{
					"billed_charge": 688.00,
					"npi": [1770206450]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "951688570"
			},
			"service_code": ["41"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 55.28,
				"billing_code_modifier": ["SH"],
				"providers":[{
					"billed_charge": 55.28,
					"npi": [1811081425]
				}]
			},{
				"allowed_amount": 386.96,
				"billing_code_modifier": ["RH"],
				"providers":[{
					"billed_charge": 386.96,
					"npi": [1811081425]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "952259585"
			},
			"service_code": ["41"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 188.80,
				"billing_code_modifier": ["RH"],
				"providers":[{
					"billed_charge": 188.80,
					"npi": [1346248606]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "956000478"
			},
			"service_code": ["41"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 504.00,
				"billing_code_modifier": ["RH"],
				"providers":[{
					"billed_charge": 504.00,
					"npi": [1295724813]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "956000690"
			},
			"service_code": ["41"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 208.65,
				"billing_code_modifier": ["SH"],
				"providers":[{
					"billed_charge": 208.65,
					"npi": [1356960413]
				}]
			},{
				"allowed_amount": 751.14,
				"billing_code_modifier": ["RH"],
				"providers":[{
					"billed_charge": 751.14,
					"npi": [1356960413]
				}]
			},{
				"allowed_amount": 0.00,
				"billing_code_modifier": ["SH"],
				"providers":[{
					"billed_charge": 834.60,
					"npi": [1356960413]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "956000708"
			},
			"service_code": ["41"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 120.00,
				"billing_code_modifier": ["RH"],
				"providers":[{
					"billed_charge": 120.00,
					"npi": [1548266455]
				}]
			},{
				"allowed_amount": 1240.00,
				"billing_code_modifier": ["RH"],
				"providers":[{
					"billed_charge": 1240.00,
					"npi": [1548266455]
				}]
			},{
				"allowed_amount": 240.00,
				"billing_code_modifier": ["RH"],
				"providers":[{
					"billed_charge": 240.00,
					"npi": [1548266455]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "956000776"
			},
			"service_code": ["41"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"billing_code_modifier": ["RH"],
				"providers":[{
					"billed_charge": 624.00,
					"npi": [1043904485]
				}]
			},{
				"allowed_amount": 192.00,
				"billing_code_modifier": ["SH"],
				"providers":[{
					"billed_charge": 192.00,
					"npi": [1043904485]
				}]
			},{
				"allowed_amount": 192.00,
				"billing_code_modifier": ["RH"],
				"providers":[{
					"billed_charge": 192.00,
					"npi": [1043904485]
				}]
			},{
				"allowed_amount": 240.00,
				"billing_code_modifier": ["SH"],
				"providers":[{
					"billed_charge": 240.00,
					"npi": [1043904485]
				}]
			},{
				"allowed_amount": 288.00,
				"billing_code_modifier": ["SH"],
				"providers":[{
					"billed_charge": 288.00,
					"npi": [1043904485]
				}]
			},{
				"allowed_amount": 288.00,
				"providers":[{
					"billed_charge": 288.00,
					"npi": [1316685159]
				}]
			},{
				"allowed_amount": 384.00,
				"billing_code_modifier": ["SH"],
				"providers":[{
					"billed_charge": 384.00,
					"npi": [1043904485]
				}]
			},{
				"allowed_amount": 432.00,
				"billing_code_modifier": ["SH"],
				"providers":[{
					"billed_charge": 432.00,
					"npi": [1043904485]
				}]
			},{
				"allowed_amount": 48.00,
				"billing_code_modifier": ["SH"],
				"providers":[{
					"billed_charge": 48.00,
					"npi": [1043904485]
				}]
			},{
				"allowed_amount": 528.00,
				"billing_code_modifier": ["RH"],
				"providers":[{
					"billed_charge": 528.00,
					"npi": [1043904485]
				}]
			},{
				"allowed_amount": 624.00,
				"billing_code_modifier": ["SH"],
				"providers":[{
					"billed_charge": 624.00,
					"npi": [1043904485]
				}]
			},{
				"allowed_amount": 96.00,
				"billing_code_modifier": ["SH"],
				"providers":[{
					"billed_charge": 96.00,
					"npi": [1043904485]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "956004793"
			},
			"service_code": ["41"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 473.00,
				"billing_code_modifier": ["RH"],
				"providers":[{
					"billed_charge": 473.00,
					"npi": [1487659934]
				}]
			}]
		}]
	},{
		"name": "PR ALS1-EMERGENCY",
		"billing_code_type": "HCPCS",
		"billing_code_type_version": "2026",
		"billing_code": "A0427",
		"description": "Als1-Emergency",
		"allowed_amounts":[{
			"tin": {
				"type": "ein",
				"value": "752474011"
			},
			"service_code": ["41"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 3446.16,
				"billing_code_modifier": ["RH"],
				"providers":[{
					"billed_charge": 3446.16,
					"npi": [1578597886]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "900334466"
			},
			"service_code": ["41"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"billing_code_modifier": ["SH"],
				"providers":[{
					"billed_charge": 3743.00,
					"npi": [1497024731]
				}]
			},{
				"allowed_amount": 0.00,
				"billing_code_modifier": ["RH"],
				"providers":[{
					"billed_charge": 3743.00,
					"npi": [1497024731]
				}]
			},{
				"allowed_amount": 3743.00,
				"billing_code_modifier": ["SH"],
				"providers":[{
					"billed_charge": 3743.00,
					"npi": [1497024731]
				}]
			},{
				"allowed_amount": 3743.00,
				"billing_code_modifier": ["RH"],
				"providers":[{
					"billed_charge": 3743.00,
					"npi": [1497024731]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "920288960"
			},
			"service_code": ["41"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 1204.00,
				"billing_code_modifier": ["RH"],
				"providers":[{
					"billed_charge": 1204.00,
					"npi": [1770206450]
				}]
			},{
				"allowed_amount": 1246.00,
				"billing_code_modifier": ["RH"],
				"providers":[{
					"billed_charge": 1246.00,
					"npi": [1770206450]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "951688570"
			},
			"service_code": ["41"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 1662.96,
				"billing_code_modifier": ["RH"],
				"providers":[{
					"billed_charge": 1662.96,
					"npi": [1811081425]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "956000690"
			},
			"service_code": ["41"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 2800.00,
				"billing_code_modifier": ["SH"],
				"providers":[{
					"billed_charge": 2800.00,
					"npi": [1356960413]
				}]
			},{
				"allowed_amount": 2981.30,
				"billing_code_modifier": ["RH"],
				"providers":[{
					"billed_charge": 2981.30,
					"npi": [1356960413]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "956000708"
			},
			"service_code": ["41"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 4267.00,
				"billing_code_modifier": ["RH"],
				"providers":[{
					"billed_charge": 4267.00,
					"npi": [1548266455]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "956000776"
			},
			"service_code": ["41"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"billing_code_modifier": ["RH"],
				"providers":[{
					"billed_charge": 3168.00,
					"npi": [1043904485]
				}]
			},{
				"allowed_amount": 3168.00,
				"billing_code_modifier": ["SH"],
				"providers":[{
					"billed_charge": 3168.00,
					"npi": [1043904485]
				}]
			},{
				"allowed_amount": 3168.00,
				"billing_code_modifier": ["RH"],
				"providers":[{
					"billed_charge": 3168.00,
					"npi": [1043904485,1316685159]
				}]
			},{
				"allowed_amount": 3320.00,
				"billing_code_modifier": ["RH"],
				"providers":[{
					"billed_charge": 3320.00,
					"npi": [1043904485]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "956004793"
			},
			"service_code": ["41"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 2732.00,
				"billing_code_modifier": ["RH"],
				"providers":[{
					"billed_charge": 2732.00,
					"npi": [1487659934]
				}]
			}]
		}]
	},{
		"name": "PR ADMN SARSCOV2 VAC 1/ONLY CMP",
		"billing_code_type": "CPT",
		"billing_code_type_version": "2026",
		"billing_code": "90480",
		"description": "Admn Sarscov2 Vac 1/Only Cmp",
		"allowed_amounts":[{
			"tin": {
				"type": "ein",
				"value": "870737748"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 44.95,
				"billing_code_modifier": ["59"],
				"providers":[{
					"billed_charge": 120.00,
					"npi": [1972716918]
				}]
			},{
				"allowed_amount": 44.95,
				"providers":[{
					"billed_charge": 120.00,
					"npi": [1083758403,1114022522,1679502884,1780652420,1871572156,1972716918]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "870737749"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 44.95,
				"billing_code_modifier": ["59"],
				"providers":[{
					"billed_charge": 120.00,
					"npi": [1912208836]
				}]
			},{
				"allowed_amount": 44.95,
				"providers":[{
					"billed_charge": 120.00,
					"npi": [1770223307]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "951691313"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 40.00,
					"npi": [1265968788]
				}]
			}]
		}]
	},{
		"name": "PR INJ, HYDROMORPHONE, 0.1 MG",
		"billing_code_type": "HCPCS",
		"billing_code_type_version": "2026",
		"billing_code": "J1171",
		"description": "Inj, Hydromorphone, 0.1 Mg",
		"allowed_amounts":[{
			"tin": {
				"type": "ein",
				"value": "233059262"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 20.72,
				"billing_code_modifier": ["JZ"],
				"providers":[{
					"billed_charge": 91.00,
					"npi": [1245221050]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "330599494"
			},
			"service_code": ["22"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 0.02,
				"providers":[{
					"billed_charge": 0.03,
					"npi": [1184722779]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "870737749"
			},
			"service_code": ["20"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.89,
				"providers":[{
					"billed_charge": 1.80,
					"npi": [1962503805]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "941105628"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 12.83,
				"providers":[{
					"billed_charge": 13.50,
					"npi": [1851417547]
				}]
			},{
				"allowed_amount": 20.72,
				"providers":[{
					"billed_charge": 21.95,
					"npi": [1558080861]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "951684089"
			},
			"service_code": ["22"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 4.20,
				"providers":[{
					"billed_charge": 30.00,
					"npi": [1841233780]
				}]
			},{
				"allowed_amount": 8.40,
				"providers":[{
					"billed_charge": 60.00,
					"npi": [1841233780]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "951684089"
			},
			"service_code": ["22"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 16.80,
				"providers":[{
					"billed_charge": 120.00,
					"npi": [1700829199]
				}]
			},{
				"allowed_amount": 4.20,
				"providers":[{
					"billed_charge": 30.00,
					"npi": [1700829199]
				}]
			},{
				"allowed_amount": 8.40,
				"providers":[{
					"billed_charge": 60.00,
					"npi": [1700829199]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "951684089"
			},
			"service_code": ["22"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 21.00,
				"providers":[{
					"billed_charge": 150.00,
					"npi": [1841277704]
				}]
			},{
				"allowed_amount": 4.20,
				"providers":[{
					"billed_charge": 30.00,
					"npi": [1841277704]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "951684089"
			},
			"service_code": ["22", "23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 4.20,
				"providers":[{
					"billed_charge": 30.00,
					"npi": [1659359446]
				}]
			},{
				"allowed_amount": 4.50,
				"providers":[{
					"billed_charge": 30.00,
					"npi": [1659359446]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "953782169"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 15.95,
				"providers":[{
					"billed_charge": 18.76,
					"npi": [1407839921]
				}]
			}]
		}]
	},{
		"name": "PR INJ, CEFAZOLIN SODIUM, 500 MG",
		"billing_code_type": "HCPCS",
		"billing_code_type_version": "2026",
		"billing_code": "J0690",
		"description": "Cefazolin Sodium Injection",
		"allowed_amounts":[{
			"tin": {
				"type": "ein",
				"value": "330294751"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 0.83,
				"providers":[{
					"billed_charge": 75.00,
					"npi": [1073553756]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "941105628"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 23.68,
				"billing_code_modifier": ["JZ"],
				"providers":[{
					"billed_charge": 68.65,
					"npi": [1558080861]
				}]
			},{
				"allowed_amount": 65.22,
				"billing_code_modifier": ["JZ"],
				"providers":[{
					"billed_charge": 68.65,
					"npi": [1851417547]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "951684089"
			},
			"service_code": ["22"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 1.95,
				"providers":[{
					"billed_charge": 13.92,
					"npi": [1841233780]
				}]
			},{
				"allowed_amount": 3.90,
				"providers":[{
					"billed_charge": 27.84,
					"npi": [1841233780]
				}]
			},{
				"allowed_amount": 4.20,
				"providers":[{
					"billed_charge": 30.00,
					"npi": [1841233780]
				}]
			},{
				"allowed_amount": 8.40,
				"providers":[{
					"billed_charge": 60.00,
					"npi": [1841233780]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "951684089"
			},
			"service_code": ["22"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 1.95,
				"providers":[{
					"billed_charge": 13.92,
					"npi": [1700829199]
				}]
			},{
				"allowed_amount": 16.80,
				"providers":[{
					"billed_charge": 120.00,
					"npi": [1700829199]
				}]
			},{
				"allowed_amount": 18.00,
				"providers":[{
					"billed_charge": 120.00,
					"npi": [1700829199]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "951684089"
			},
			"service_code": ["22"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 8.40,
				"providers":[{
					"billed_charge": 60.00,
					"npi": [1841277704]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "951684089"
			},
			"service_code": ["22"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 12.60,
				"providers":[{
					"billed_charge": 90.00,
					"npi": [1659359446]
				}]
			},{
				"allowed_amount": 4.20,
				"providers":[{
					"billed_charge": 30.00,
					"npi": [1659359446]
				}]
			},{
				"allowed_amount": 9.00,
				"providers":[{
					"billed_charge": 60.00,
					"npi": [1659359446]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "951691313"
			},
			"service_code": ["22"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 58.05,
				"providers":[{
					"billed_charge": 94.00,
					"npi": [1710065933]
				}]
			}]
		}]
	},{
		"name": "PR INJ, DEXAMETHASONE SODIUM PHOS, 1 MG",
		"billing_code_type": "HCPCS",
		"billing_code_type_version": "2026",
		"billing_code": "J1100",
		"description": "Dexamethasone Sodium Phos",
		"allowed_amounts":[{
			"tin": {
				"type": "ein",
				"value": "274666463"
			},
			"service_code": ["20"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 1.30,
				"providers":[{
					"billed_charge": 100.00,
					"npi": [1811938038]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "330449527"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 7.27,
				"billing_code_modifier": ["UD"],
				"providers":[{
					"billed_charge": 8.55,
					"npi": [1528041811]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "941105628"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 5.77,
				"providers":[{
					"billed_charge": 8.95,
					"npi": [1558080861]
				}]
			},{
				"allowed_amount": 14.43,
				"billing_code_modifier": ["JZ"],
				"providers":[{
					"billed_charge": 26.40,
					"npi": [1558080861]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "951684089"
			},
			"service_code": ["22"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 12.60,
				"providers":[{
					"billed_charge": 90.00,
					"npi": [1841233780]
				}]
			},{
				"allowed_amount": 4.20,
				"providers":[{
					"billed_charge": 30.00,
					"npi": [1841233780]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "951684089"
			},
			"service_code": ["22"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 6.36,
				"providers":[{
					"billed_charge": 45.42,
					"npi": [1700829199]
				}]
			},{
				"allowed_amount": 6.81,
				"providers":[{
					"billed_charge": 45.42,
					"npi": [1700829199]
				}]
			},{
				"allowed_amount": 25.20,
				"providers":[{
					"billed_charge": 180.00,
					"npi": [1700829199]
				}]
			},{
				"allowed_amount": 8.40,
				"providers":[{
					"billed_charge": 60.00,
					"npi": [1700829199]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "951684089"
			},
			"service_code": ["22"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 8.40,
				"providers":[{
					"billed_charge": 60.00,
					"npi": [1841277704]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "951684089"
			},
			"service_code": ["22"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 0.96,
				"providers":[{
					"billed_charge": 37.80,
					"npi": [1659359446]
				}]
			},{
				"allowed_amount": 4.20,
				"providers":[{
					"billed_charge": 30.00,
					"npi": [1659359446]
				}]
			},{
				"allowed_amount": 4.50,
				"providers":[{
					"billed_charge": 30.00,
					"npi": [1659359446]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "951691313"
			},
			"service_code": ["22"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 58.05,
				"providers":[{
					"billed_charge": 94.00,
					"npi": [1710065933]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "952367304"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 7.27,
				"providers":[{
					"billed_charge": 8.55,
					"npi": [1396728630]
				}]
			},{
				"allowed_amount": 18.09,
				"providers":[{
					"billed_charge": 21.28,
					"npi": [1396728630]
				}]
			},{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 8.55,
					"npi": [1396728630]
				}]
			}]
		}]
	},{
		"name": "PR INJ, KETOROLAC TROMETHAMINE, PER 15 MG",
		"billing_code_type": "HCPCS",
		"billing_code_type_version": "2026",
		"billing_code": "J1885",
		"description": "Ketorolac Tromethamine Inj",
		"allowed_amounts":[{
			"tin": {
				"type": "ein",
				"value": "208785833"
			},
			"service_code": ["20"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 2.12,
				"providers":[{
					"billed_charge": 80.00,
					"npi": [1275601478]
				}]
			},{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 80.00,
					"npi": [1275601478]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "233059262"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 15.10,
				"billing_code_modifier": ["JZ"],
				"providers":[{
					"billed_charge": 551.00,
					"npi": [1245221050]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "272973102"
			},
			"service_code": ["20"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"billing_code_modifier": ["JZ"],
				"providers":[{
					"billed_charge": 62.00,
					"npi": [1316225147]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "330294751"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 0.33,
				"billing_code_modifier": ["JW"],
				"providers":[{
					"billed_charge": 84.00,
					"npi": [1073553756]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "330449527"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 2.81,
				"billing_code_modifier": ["UD"],
				"providers":[{
					"billed_charge": 3.31,
					"npi": [1528041811]
				}]
			},{
				"allowed_amount": 3.99,
				"billing_code_modifier": ["UD"],
				"providers":[{
					"billed_charge": 4.70,
					"npi": [1528041811]
				}]
			},{
				"allowed_amount": 4.39,
				"providers":[{
					"billed_charge": 5.17,
					"npi": [1528041811]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "330599494"
			},
			"service_code": ["22"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 1.25,
				"providers":[{
					"billed_charge": 2.09,
					"npi": [1184722779]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "721561134"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 26.00,
				"billing_code_modifier": ["ER"],
				"providers":[{
					"billed_charge": 26.00,
					"npi": [1265065445]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "870737749"
			},
			"service_code": ["20"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"billing_code_modifier": ["JW"],
				"providers":[{
					"billed_charge": 1.51,
					"npi": [1619364296,1629085154,1639170475,1669474417]
				},{
					"billed_charge": 3.02,
					"npi": [1558361907]
				}]
			},{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 1.51,
					"npi": [1619364296,1629085154,1639170475,1669474417]
				},{
					"billed_charge": 3.02,
					"npi": [1164633970,1497911697,1558361907]
				}]
			},{
				"allowed_amount": 0.30,
				"billing_code_modifier": ["JW"],
				"providers":[{
					"billed_charge": 1.51,
					"npi": [1669474417]
				}]
			},{
				"allowed_amount": 0.30,
				"providers":[{
					"billed_charge": 1.51,
					"npi": [1669474417]
				}]
			},{
				"allowed_amount": 0.75,
				"billing_code_modifier": ["JW"],
				"providers":[{
					"billed_charge": 1.51,
					"npi": [1548248511]
				}]
			},{
				"allowed_amount": 0.75,
				"providers":[{
					"billed_charge": 1.51,
					"npi": [1548248511]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "900454894"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 7.55,
				"providers":[{
					"billed_charge": 45.00,
					"npi": [1891938122]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "941105628"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 7.55,
				"billing_code_modifier": ["JW"],
				"providers":[{
					"billed_charge": 16.65,
					"npi": [1558080861]
				}]
			},{
				"allowed_amount": 7.55,
				"providers":[{
					"billed_charge": 16.65,
					"npi": [1558080861]
				}]
			},{
				"allowed_amount": 15.82,
				"billing_code_modifier": ["JW"],
				"providers":[{
					"billed_charge": 16.65,
					"npi": [1851417547]
				}]
			},{
				"allowed_amount": 15.82,
				"providers":[{
					"billed_charge": 16.65,
					"npi": [1851417547]
				}]
			},{
				"allowed_amount": 16.65,
				"billing_code_modifier": ["JW"],
				"providers":[{
					"billed_charge": 16.65,
					"npi": [1558080861]
				}]
			},{
				"allowed_amount": 16.65,
				"providers":[{
					"billed_charge": 16.65,
					"npi": [1558080861]
				}]
			},{
				"allowed_amount": 15.10,
				"billing_code_modifier": ["JZ"],
				"providers":[{
					"billed_charge": 28.30,
					"npi": [1558080861]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "951684089"
			},
			"service_code": ["22"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 6.39,
				"providers":[{
					"billed_charge": 45.66,
					"npi": [1841277704]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "951684089"
			},
			"service_code": ["22"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 6.39,
				"providers":[{
					"billed_charge": 45.66,
					"npi": [1659359446]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "951691313"
			},
			"service_code": ["22"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 58.05,
				"providers":[{
					"billed_charge": 94.00,
					"npi": [1710065933]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "952801772"
			},
			"service_code": ["20"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.76,
				"providers":[{
					"billed_charge": 36.00,
					"npi": [1982101234]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "956003843"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 0.48,
				"billing_code_modifier": ["JZ"],
				"providers":[{
					"billed_charge": 29.10,
					"npi": [1457321317]
				},{
					"billed_charge": 77.40,
					"npi": [1457321317]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "956064971"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 15.10,
				"billing_code_modifier": ["JZ"],
				"providers":[{
					"billed_charge": 68.74,
					"npi": [1063495190]
				}]
			}]
		}]
	},{
		"name": "PR INJ, ONDANSETRON HCL, PER 1 MG",
		"billing_code_type": "HCPCS",
		"billing_code_type_version": "2026",
		"billing_code": "J2405",
		"description": "Ondansetron Hcl Injection",
		"allowed_amounts":[{
			"tin": {
				"type": "ein",
				"value": "233059262"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 6.59,
				"providers":[{
					"billed_charge": 43.00,
					"npi": [1245221050]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "330294751"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 0.09,
				"billing_code_modifier": ["JW"],
				"providers":[{
					"billed_charge": 23.75,
					"npi": [1073553756]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "330599494"
			},
			"service_code": ["22"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 1.09,
				"providers":[{
					"billed_charge": 1.82,
					"npi": [1184722779]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "721561119"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 26.00,
				"providers":[{
					"billed_charge": 26.00,
					"npi": [1427181007]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "870737749"
			},
			"service_code": ["20"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 3.80,
					"npi": [1669474417]
				}]
			},{
				"allowed_amount": 0.36,
				"providers":[{
					"billed_charge": 3.80,
					"npi": [1669474417]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "941105628"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 7.08,
				"billing_code_modifier": ["JZ"],
				"providers":[{
					"billed_charge": 7.45,
					"npi": [1851417547]
				}]
			},{
				"allowed_amount": 7.45,
				"billing_code_modifier": ["JZ"],
				"providers":[{
					"billed_charge": 7.45,
					"npi": [1558080861]
				}]
			},{
				"allowed_amount": 9.90,
				"billing_code_modifier": ["JZ"],
				"providers":[{
					"billed_charge": 9.90,
					"npi": [1558080861]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "951684089"
			},
			"service_code": ["22"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 4.20,
				"providers":[{
					"billed_charge": 30.00,
					"npi": [1841233780]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "951684089"
			},
			"service_code": ["22"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 4.20,
				"providers":[{
					"billed_charge": 30.00,
					"npi": [1700829199]
				}]
			},{
				"allowed_amount": 4.50,
				"providers":[{
					"billed_charge": 30.00,
					"npi": [1700829199]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "951684089"
			},
			"service_code": ["22"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 0.68,
				"providers":[{
					"billed_charge": 4.86,
					"npi": [1841277704]
				}]
			},{
				"allowed_amount": 4.20,
				"providers":[{
					"billed_charge": 30.00,
					"npi": [1841277704]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "951684089"
			},
			"service_code": ["22"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 4.20,
				"providers":[{
					"billed_charge": 30.00,
					"npi": [1659359446]
				}]
			},{
				"allowed_amount": 4.50,
				"providers":[{
					"billed_charge": 30.00,
					"npi": [1659359446]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "951691313"
			},
			"service_code": ["22"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 58.05,
				"providers":[{
					"billed_charge": 94.00,
					"npi": [1710065933]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "953782169"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 4.59,
				"providers":[{
					"billed_charge": 5.40,
					"npi": [1407839921]
				}]
			},{
				"allowed_amount": 7.51,
				"providers":[{
					"billed_charge": 8.84,
					"npi": [1407839921]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "956003843"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 25.10,
					"npi": [1376513754,1457321317]
				}]
			}]
		}]
	},{
		"name": "PR FENTANYL CITRATE INJECTION",
		"billing_code_type": "HCPCS",
		"billing_code_type_version": "2026",
		"billing_code": "J3010",
		"description": "Fentanyl Citrate Injection",
		"allowed_amounts":[{
			"tin": {
				"type": "ein",
				"value": "330294751"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 1.19,
				"billing_code_modifier": ["JW"],
				"providers":[{
					"billed_charge": 42.75,
					"npi": [1073553756]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "330599494"
			},
			"service_code": ["22"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 3.12,
				"providers":[{
					"billed_charge": 5.20,
					"npi": [1184722779]
				}]
			},{
				"allowed_amount": 0.79,
				"providers":[{
					"billed_charge": 1.31,
					"npi": [1184722779]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "941105628"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 30.64,
				"providers":[{
					"billed_charge": 32.25,
					"npi": [1851417547]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "951684089"
			},
			"service_code": ["22"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 4.20,
				"providers":[{
					"billed_charge": 30.00,
					"npi": [1841233780]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "951684089"
			},
			"service_code": ["22"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 27.00,
				"providers":[{
					"billed_charge": 180.00,
					"npi": [1700829199]
				}]
			},{
				"allowed_amount": 8.40,
				"providers":[{
					"billed_charge": 60.00,
					"npi": [1700829199]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "951684089"
			},
			"service_code": ["22"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 12.60,
				"providers":[{
					"billed_charge": 90.00,
					"npi": [1841277704]
				}]
			},{
				"allowed_amount": 25.20,
				"providers":[{
					"billed_charge": 180.00,
					"npi": [1841277704]
				}]
			},{
				"allowed_amount": 4.50,
				"providers":[{
					"billed_charge": 30.00,
					"npi": [1841277704]
				}]
			},{
				"allowed_amount": 9.00,
				"providers":[{
					"billed_charge": 60.00,
					"npi": [1841277704]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "951684089"
			},
			"service_code": ["22"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 5.04,
				"providers":[{
					"billed_charge": 36.00,
					"npi": [1659359446]
				}]
			},{
				"allowed_amount": 4.20,
				"providers":[{
					"billed_charge": 30.00,
					"npi": [1659359446]
				}]
			},{
				"allowed_amount": 4.50,
				"providers":[{
					"billed_charge": 30.00,
					"npi": [1659359446]
				}]
			},{
				"allowed_amount": 5.40,
				"providers":[{
					"billed_charge": 36.00,
					"npi": [1659359446]
				}]
			},{
				"allowed_amount": 9.00,
				"providers":[{
					"billed_charge": 60.00,
					"npi": [1659359446]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "951691313"
			},
			"service_code": ["22"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 58.05,
				"providers":[{
					"billed_charge": 94.00,
					"npi": [1710065933]
				}]
			}]
		}]
	},{
		"name": "PR RINGERS LACTATE INFUSION",
		"billing_code_type": "HCPCS",
		"billing_code_type_version": "2026",
		"billing_code": "J7120",
		"description": "Ringers Lactate Infusion",
		"allowed_amounts":[{
			"tin": {
				"type": "ein",
				"value": "870737749"
			},
			"service_code": ["20"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 2.41,
				"providers":[{
					"billed_charge": 40.60,
					"npi": [1548248511]
				}]
			},{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 40.60,
					"npi": [1619364296]
				},{
					"billed_charge": 81.20,
					"npi": [1477709293]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "941105628"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 24.99,
				"billing_code_modifier": ["JZ"],
				"providers":[{
					"billed_charge": 28.60,
					"npi": [1558080861]
				}]
			},{
				"allowed_amount": 27.17,
				"billing_code_modifier": ["JZ"],
				"providers":[{
					"billed_charge": 28.60,
					"npi": [1851417547]
				}]
			},{
				"allowed_amount": 49.99,
				"billing_code_modifier": ["JZ"],
				"providers":[{
					"billed_charge": 57.20,
					"npi": [1558080861]
				}]
			},{
				"allowed_amount": 28.60,
				"billing_code_modifier": ["JZ"],
				"providers":[{
					"billed_charge": 28.60,
					"npi": [1558080861]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "951684089"
			},
			"service_code": ["22"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 2.80,
				"providers":[{
					"billed_charge": 20.00,
					"npi": [1841233780]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "951684089"
			},
			"service_code": ["22"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 12.12,
				"providers":[{
					"billed_charge": 80.82,
					"npi": [1700829199]
				}]
			},{
				"allowed_amount": 5.60,
				"providers":[{
					"billed_charge": 40.00,
					"npi": [1700829199]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "951684089"
			},
			"service_code": ["22"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 3.00,
				"providers":[{
					"billed_charge": 20.00,
					"npi": [1841277704]
				}]
			},{
				"allowed_amount": 5.60,
				"providers":[{
					"billed_charge": 40.00,
					"npi": [1841277704]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "951684089"
			},
			"service_code": ["22"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 3.15,
				"providers":[{
					"billed_charge": 21.00,
					"npi": [1659359446]
				}]
			},{
				"allowed_amount": 2.80,
				"providers":[{
					"billed_charge": 20.00,
					"npi": [1659359446]
				}]
			},{
				"allowed_amount": 3.00,
				"providers":[{
					"billed_charge": 20.00,
					"npi": [1659359446]
				}]
			},{
				"allowed_amount": 5.60,
				"providers":[{
					"billed_charge": 40.00,
					"npi": [1659359446]
				}]
			},{
				"allowed_amount": 6.00,
				"providers":[{
					"billed_charge": 40.00,
					"npi": [1659359446]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "956003843"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 278.20,
					"npi": [1376513754]
				},{
					"billed_charge": 556.40,
					"npi": [1376513754]
				}]
			}]
		}]
	},{
		"name": "PR MOST RECENT DIASTOLIC BLOOD PRESSURE < 80 MM HG",
		"billing_code_type": "CPT",
		"billing_code_type_version": "2026",
		"billing_code": "3078F",
		"description": "Most Recent Diastolic Blood Pressure < 80 Mm Hg",
		"allowed_amounts":[{
			"tin": {
				"type": "ein",
				"value": "205823403"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 0.01,
					"npi": [1154395440]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "270602996"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 0.01,
					"npi": [1740012715]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "330648902"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 0.01,
					"npi": [1629158589]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "611677183"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 0.01,
					"npi": [1104480912]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "870737748"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 0.01,
					"npi": [1043769367,1285865253,1295761765,1366949729,1386195535,1417353277,1538113493,1538511266,1790139434,1831129469]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "870737749"
			},
			"service_code": ["11", "02"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"billing_code_modifier": ["95"],
				"providers":[{
					"billed_charge": 0.01,
					"npi": [1780742387]
				}]
			},{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 0.01,
					"npi": [1013528488,1033595525,1033997309,1154447886,1184618175,1205169711,1205973948,1255737847,1265864268,1467006148,1528345220,1548947245,1598747065,1619076536,1689093684,1720485287,1740090448,1780004101,1790232122,1801882055,1841473170,1861081317,1861893729,1932722758,1992331094]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "952801772"
			},
			"service_code": ["20"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 0.00,
					"npi": [1154683787,1649552621]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "952815615"
			},
			"service_code": ["50"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 0.00,
					"npi": [1003172016]
				}]
			}]
		}]
	},{
		"name": "PR MOST RECENT DIASTOLIC BLOOD PRESSURE 80-89 MM HG",
		"billing_code_type": "CPT",
		"billing_code_type_version": "2026",
		"billing_code": "3079F",
		"description": "Most Recent Diastolic Blood Pressure 80-89 Mm Hg",
		"allowed_amounts":[{
			"tin": {
				"type": "ein",
				"value": "814880488"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 0.01,
					"npi": [1073633301,1790221703]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "870737748"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 0.01,
					"npi": [1255884375,1306519061,1568090579]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "870737749"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 0.01,
					"npi": [1023469079,1033997309,1164763173,1184852394,1205973948,1255737847,1467006148,1508375486,1568655785,1720485287,1801882055,1841473170,1922070242,1962009183,1972939288]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "952801772"
			},
			"service_code": ["20"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 0.00,
					"npi": [1982101234]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "952801772"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 0.00,
					"npi": [1952563421]
				}]
			}]
		}]
	},{
		"name": "PR SERVICES PROVIDED IN URGENT",
		"billing_code_type": "HCPCS",
		"billing_code_type_version": "2026",
		"billing_code": "S9088",
		"description": "Services Provided in Urgent",
		"allowed_amounts":[{
			"tin": {
				"type": "ein",
				"value": "208785833"
			},
			"service_code": ["20"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 21.13,
				"providers":[{
					"billed_charge": 50.00,
					"npi": [1013163914,1275601478]
				}]
			},{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 50.00,
					"npi": [1275601478]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "272973102"
			},
			"service_code": ["20"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 127.00,
					"npi": [1003559907,1013557925,1033540554,1053762005,1063133692,1144689175,1174887368,1245878255,1316225147,1316438807,1366168031,1366299315,1619523024,1770015901,1912367830,1922711209]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "384120823"
			},
			"service_code": ["20"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 21.13,
				"providers":[{
					"billed_charge": 88.00,
					"npi": [1740309608]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "464742014"
			},
			"service_code": ["20"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 127.00,
					"npi": [1013557925,1629581764]
				}]
			}]
		}]
	},{
		"name": "PR IIV3 VACC PRESERVATIVE FREE 0.5 ML DOSAGE IM USE",
		"billing_code_type": "CPT",
		"billing_code_type_version": "2026",
		"billing_code": "90656",
		"description": "Iiv3 Vacc Preservative Free 0.5 Ml Dosage Im Use",
		"allowed_amounts":[{
			"tin": {
				"type": "ein",
				"value": "870737748"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 23.22,
				"providers":[{
					"billed_charge": 61.60,
					"npi": [1083758403,1255884375,1295761765,1376196097,1467683920,1659990471,1780652420,1871572156,1881705192,1972716918,1992140396]
				}]
			},{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 61.60,
					"npi": [1083758403,1538511266,1902337801,1972716918]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "870737749"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 23.22,
				"providers":[{
					"billed_charge": 61.60,
					"npi": [1093787244,1215243092,1316189723,1407951338,1467006148,1912208836]
				}]
			},{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 61.60,
					"npi": [1194837138,1316189723,1790232122,1912208836]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "951691313"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 79.00,
					"npi": [1356502520]
				}]
			},{
				"allowed_amount": 25.30,
				"providers":[{
					"billed_charge": 78.00,
					"npi": [1164627832,1194796367,1265968788,1528167087,1598993487,1700535408,1720375520]
				},{
					"billed_charge": 79.00,
					"npi": [1144726936,1356502520,1356570758,1609281450,1740316405,1952490807]
				}]
			}]
		}]
	},{
		"name": "PR IV INFUSION, HYDRATION, EA ADD HOUR",
		"billing_code_type": "CPT",
		"billing_code_type_version": "2026",
		"billing_code": "96361",
		"description": "IV Infusion, Hydration, Ea Add Hour",
		"allowed_amounts":[{
			"tin": {
				"type": "ein",
				"value": "204215230"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 15.83,
				"providers":[{
					"billed_charge": 39.57,
					"npi": [1316963713]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "233059262"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 117.07,
				"providers":[{
					"billed_charge": 386.00,
					"npi": [1245221050]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "330449527"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 231.20,
				"providers":[{
					"billed_charge": 272.00,
					"npi": [1528041811]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "721561119"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 648.00,
				"providers":[{
					"billed_charge": 648.00,
					"npi": [1427181007]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "870737749"
			},
			"service_code": ["20"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 14.86,
				"providers":[{
					"billed_charge": 44.04,
					"npi": [1548248511,1962503805]
				}]
			},{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 44.04,
					"npi": [1477709293,1619364296,1639170475,1669474417]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "941105628"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 131.70,
				"providers":[{
					"billed_charge": 410.00,
					"npi": [1558080861]
				}]
			},{
				"allowed_amount": 398.00,
				"providers":[{
					"billed_charge": 398.00,
					"npi": [1558080861]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "951684089"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 288.03,
				"providers":[{
					"billed_charge": 626.15,
					"npi": [ ]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "951684089"
			},
			"service_code": ["22"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 112.71,
				"providers":[{
					"billed_charge": 626.15,
					"npi": [1659359446]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "953782169"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 231.20,
				"providers":[{
					"billed_charge": 272.00,
					"npi": [1407839921]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "956003843"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 93.81,
				"providers":[{
					"billed_charge": 165.47,
					"npi": [1457321317]
				}]
			}]
		}]
	},{
		"name": "PR INJECTION,THERAP/PROPH/DIAGNOST, IV PUSH, INITIAL DRUG",
		"billing_code_type": "CPT",
		"billing_code_type_version": "2026",
		"billing_code": "96374",
		"description": "Injection,Therap/Proph/Diagnost, IV Push, Initial Drug",
		"allowed_amounts":[{
			"tin": {
				"type": "ein",
				"value": "233059262"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 207.64,
				"billing_code_modifier": ["59"],
				"providers":[{
					"billed_charge": 892.00,
					"npi": [1245221050]
				}]
			},{
				"allowed_amount": 207.64,
				"providers":[{
					"billed_charge": 892.00,
					"npi": [1245221050]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "721561119"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 424.00,
				"providers":[{
					"billed_charge": 424.00,
					"npi": [1427181007]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "721561134"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 442.00,
				"billing_code_modifier": ["ER", "59"],
				"providers":[{
					"billed_charge": 442.00,
					"npi": [1265065445]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "870737749"
			},
			"service_code": ["20"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 43.71,
				"providers":[{
					"billed_charge": 165.68,
					"npi": [1548248511,1962503805]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "900454894"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 205.61,
				"billing_code_modifier": ["59"],
				"providers":[{
					"billed_charge": 418.00,
					"npi": [1891938122]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "941105628"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 233.56,
				"providers":[{
					"billed_charge": 664.00,
					"npi": [1558080861]
				},{
					"billed_charge": 680.00,
					"npi": [1558080861]
				}]
			},{
				"allowed_amount": 664.00,
				"providers":[{
					"billed_charge": 664.00,
					"npi": [1558080861]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "951684089"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 833.76,
				"providers":[{
					"billed_charge": 1812.53,
					"npi": [ ]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "951684089"
			},
			"service_code": ["22", "23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 253.75,
				"billing_code_modifier": ["59"],
				"providers":[{
					"billed_charge": 1812.53,
					"npi": [1659359446]
				}]
			},{
				"allowed_amount": 326.26,
				"providers":[{
					"billed_charge": 1812.53,
					"npi": [1659359446]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "952367304"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 1000.45,
				"providers":[{
					"billed_charge": 1177.00,
					"npi": [1396728630]
				}]
			},{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 1177.00,
					"npi": [1396728630]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "953782169"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 1000.45,
				"billing_code_modifier": ["59"],
				"providers":[{
					"billed_charge": 1177.00,
					"npi": [1407839921]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "956003843"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 428.32,
				"billing_code_modifier": ["59"],
				"providers":[{
					"billed_charge": 972.27,
					"npi": [1376513754]
				}]
			},{
				"allowed_amount": 428.32,
				"billing_code_modifier": ["XE"],
				"providers":[{
					"billed_charge": 972.27,
					"npi": [1457321317]
				}]
			},{
				"allowed_amount": 428.32,
				"providers":[{
					"billed_charge": 972.27,
					"npi": [1376513754,1457321317]
				}]
			}]
		}]
	},{
		"name": "PR INJECTION,THERAP/PROPH/DIAGNOST, IV PUSH, EA ADD, NEW DRUG",
		"billing_code_type": "CPT",
		"billing_code_type_version": "2026",
		"billing_code": "96375",
		"description": "Injection,Therap/Proph/Diagnost, IV Push, Ea Add, New Drug",
		"allowed_amounts":[{
			"tin": {
				"type": "ein",
				"value": "233059262"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 139.58,
				"providers":[{
					"billed_charge": 399.00,
					"npi": [1245221050]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "721561119"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 424.00,
				"providers":[{
					"billed_charge": 424.00,
					"npi": [1427181007]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "721561134"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 410.00,
				"billing_code_modifier": ["ER", "59"],
				"providers":[{
					"billed_charge": 410.00,
					"npi": [1265065445]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "870737749"
			},
			"service_code": ["11", "20"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 16.22,
				"providers":[{
					"billed_charge": 67.65,
					"npi": [1144325069]
				}]
			},{
				"allowed_amount": 18.00,
				"providers":[{
					"billed_charge": 67.65,
					"npi": [1548248511]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "941105628"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 314.02,
				"providers":[{
					"billed_charge": 742.00,
					"npi": [1558080861]
				},{
					"billed_charge": 760.00,
					"npi": [1558080861]
				}]
			},{
				"allowed_amount": 742.00,
				"providers":[{
					"billed_charge": 742.00,
					"npi": [1558080861]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "951684089"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 1566.47,
				"providers":[{
					"billed_charge": 3405.36,
					"npi": [ ]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "951684089"
			},
			"service_code": ["22", "23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 238.38,
				"providers":[{
					"billed_charge": 1702.68,
					"npi": [1659359446]
				}]
			},{
				"allowed_amount": 306.48,
				"providers":[{
					"billed_charge": 1702.68,
					"npi": [1659359446]
				}]
			},{
				"allowed_amount": 510.80,
				"providers":[{
					"billed_charge": 3405.36,
					"npi": [1659359446]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "952367304"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 1870.00,
					"npi": [1396728630]
				}]
			},{
				"allowed_amount": 1589.50,
				"providers":[{
					"billed_charge": 1870.00,
					"npi": [1396728630]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "953782169"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 2384.25,
				"providers":[{
					"billed_charge": 2805.00,
					"npi": [1407839921]
				}]
			},{
				"allowed_amount": 1589.50,
				"providers":[{
					"billed_charge": 1870.00,
					"npi": [1407839921]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "956003843"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 93.81,
				"providers":[{
					"billed_charge": 854.39,
					"npi": [1457321317]
				}]
			},{
				"allowed_amount": 187.62,
				"providers":[{
					"billed_charge": 1708.78,
					"npi": [1457321317]
				}]
			}]
		}]
	},{
		"name": "PR MEDICATION LIST DOCUMENTED IN MEDICAL RECORD",
		"billing_code_type": "CPT",
		"billing_code_type_version": "2026",
		"billing_code": "1159F",
		"description": "Medication List Documented in Medical Record",
		"allowed_amounts":[{
			"tin": {
				"type": "ein",
				"value": "205823403"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 0.01,
					"npi": [1154395440]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "952801772"
			},
			"service_code": ["20"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 0.00,
					"npi": [1154683787,1649552621,1982101234]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "952801772"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 0.00,
					"npi": [1952563421]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "952815615"
			},
			"service_code": ["50"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 0.00,
					"npi": [1003172016]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "952847102"
			},
			"service_code": ["02"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"billing_code_modifier": ["95"],
				"providers":[{
					"billed_charge": 0.00,
					"npi": [1831361278]
				}]
			}]
		}]
	},{
		"name": "PR REVIEW ALL MEDS BY PRESCRIBER/CLIN PHARMACIST DOCUMENTED",
		"billing_code_type": "CPT",
		"billing_code_type_version": "2026",
		"billing_code": "1160F",
		"description": "Review All Meds by Prescriber/Clin Pharmacist Documented",
		"allowed_amounts":[{
			"tin": {
				"type": "ein",
				"value": "205823403"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 0.01,
					"npi": [1154395440]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "952801772"
			},
			"service_code": ["20"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 0.00,
					"npi": [1649552621,1982101234]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "952801772"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 0.00,
					"npi": [1952563421]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "952815615"
			},
			"service_code": ["50"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 0.00,
					"npi": [1003172016]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "952847102"
			},
			"service_code": ["02"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"billing_code_modifier": ["95"],
				"providers":[{
					"billed_charge": 0.00,
					"npi": [1831361278]
				}]
			}]
		}]
	},{
		"name": "PR MOST RECENT SYSTOLIC BLOOD PRESSURE < 130 MM HG",
		"billing_code_type": "CPT",
		"billing_code_type_version": "2026",
		"billing_code": "3074F",
		"description": "Most Recent Systolic Blood Pressure < 130 Mm Hg",
		"allowed_amounts":[{
			"tin": {
				"type": "ein",
				"value": "270602996"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 0.01,
					"npi": [1740012715]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "611677183"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 0.01,
					"npi": [1104480912]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "870737748"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 0.01,
					"npi": [1043769367,1285865253,1295761765,1386195535,1538113493,1538511266,1568090579,1831129469]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "870737749"
			},
			"service_code": ["11", "02"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"billing_code_modifier": ["95"],
				"providers":[{
					"billed_charge": 0.01,
					"npi": [1780742387]
				}]
			},{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 0.01,
					"npi": [1013528488,1033595525,1033997309,1154447886,1164763173,1205169711,1205973948,1255737847,1265864268,1467006148,1508375486,1528345220,1548947245,1568655785,1598747065,1619076536,1689093684,1720485287,1740090448,1790232122,1801882055,1841473170,1861081317,1861893729,1922070242,1972939288,1992331094]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "952801772"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 0.00,
					"npi": [1952563421]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "952815615"
			},
			"service_code": ["50"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 0.00,
					"npi": [1003172016]
				}]
			}]
		}]
	},{
		"name": "PR MOST RECENT SYSTOLIC BLOOD PRESS GE 130-139MM HG",
		"billing_code_type": "CPT",
		"billing_code_type_version": "2026",
		"billing_code": "3075F",
		"description": "Most Recent Systolic Blood Press Ge 130-139mm Hg",
		"allowed_amounts":[{
			"tin": {
				"type": "ein",
				"value": "205823403"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 0.01,
					"npi": [1154395440]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "330648902"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 0.01,
					"npi": [1629158589]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "814880488"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 0.01,
					"npi": [1073633301,1790221703]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "870737748"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 0.01,
					"npi": [1255884375,1306519061,1366949729,1417353277,1538113493,1790139434]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "870737749"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 0.01,
					"npi": [1023469079,1033997309,1184618175,1184852394,1255737847,1467006148,1780004101,1801882055,1932722758,1962009183]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "952801772"
			},
			"service_code": ["20"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 0.00,
					"npi": [1154683787,1982101234]
				}]
			}]
		}]
	},{
		"name": "PR BODY MASS INDEX (BMI) DOCUMENTED",
		"billing_code_type": "CPT",
		"billing_code_type_version": "2026",
		"billing_code": "3008F",
		"description": "Body Mass Index (Bmi) Documented",
		"allowed_amounts":[{
			"tin": {
				"type": "ein",
				"value": "270602996"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 0.01,
					"npi": [1740012715]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "611677183"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 0.01,
					"npi": [1104480912]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "870737748"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 0.01,
					"npi": [1255884375,1285865253,1295761765,1306519061,1366949729,1386195535,1417353277,1538113493,1538511266,1568090579,1790139434,1831129469]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "870737749"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"billing_code_modifier": ["1P"],
				"providers":[{
					"billed_charge": 0.01,
					"npi": [1033997309,1205169711,1205973948,1891867412]
				}]
			},{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 0.01,
					"npi": [1023469079,1033595525,1033997309,1154447886,1164763173,1184618175,1184852394,1205973948,1255737847,1265864268,1467006148,1508375486,1528345220,1568655785,1598747065,1689093684,1720485287,1740090448,1780004101,1790232122,1801882055,1841473170,1861081317,1922070242,1932722758,1962009183,1972939288,1992331094]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "952801772"
			},
			"service_code": ["20"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 0.00,
					"npi": [1154683787,1649552621,1982101234]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "952801772"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 0.00,
					"npi": [1952563421]
				}]
			}]
		}]
	},{
		"name": "PR PSYCHOTHERAPY W/PATIENT W/E&M SRVCS 30 MIN",
		"billing_code_type": "CPT",
		"billing_code_type_version": "2026",
		"billing_code": "90833",
		"description": "Psychotherapy W/Patient W/E&M Srvcs 30 Min",
		"allowed_amounts":[{
			"tin": {
				"type": "ein",
				"value": "270297391"
			},
			"service_code": ["02"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"billing_code_modifier": ["95"],
				"providers":[{
					"billed_charge": 200.00,
					"npi": [1962526756]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "273669526"
			},
			"service_code": ["22"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 150.00,
					"npi": [1003890666]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "452130733"
			},
			"service_code": ["21"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 150.00,
					"npi": [1174679047]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "462113991"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"billing_code_modifier": ["95"],
				"providers":[{
					"billed_charge": 150.00,
					"npi": [1366857476,1841832599,1851901292]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "464297947"
			},
			"service_code": ["02"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 110.00,
					"npi": [1427085661]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "611897007"
			},
			"service_code": ["02"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"billing_code_modifier": ["GT"],
				"providers":[{
					"billed_charge": 94.99,
					"npi": [1861918104]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "830450889"
			},
			"service_code": ["31"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"billing_code_modifier": ["GV"],
				"providers":[{
					"billed_charge": 300.00,
					"npi": [1669662755]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "880550253"
			},
			"service_code": ["21"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 150.00,
					"npi": [1700083391]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "941706811"
			},
			"service_code": ["10"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"billing_code_modifier": ["GT"],
				"providers":[{
					"billed_charge": 300.00,
					"npi": [1184785834]
				}]
			}]
		}]
	}]
}