{
	"reporting_entity_name": "SCRIPPS",
	"reporting_entity_type": "HEALTH PLAN",
	"issuer_name": "MC Scripps Health",
	"plan_name": "MC SCRIPPS HEALTH: SCRIPPS HEALTH PLAN",
	"plan_id_type": "HIOS",
	"plan_id": "951684089",
	"plan_market_type": "group",
	"last_updated_on": "2026-07-31",
	"version": "2.0.1",
	"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": 29.00,
				"providers":[{
					"billed_charge": 259.00,
					"npi": [1245221050]
				}]
			},{
				"allowed_amount": 4.00,
				"providers":[{
					"billed_charge": 4.00,
					"npi": [1245221050]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "251854772"
			},
			"service_code": ["22"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 30.32,
					"npi": [1568435477]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "262681502"
			},
			"service_code": ["65"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 2.82,
					"npi": [1801021399]
				},{
					"billed_charge": 228.64,
					"npi": [1801021399]
				},{
					"billed_charge": 457.28,
					"npi": [1801021399]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "330449527"
			},
			"service_code": ["21"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 32.03,
				"providers":[{
					"billed_charge": 128.10,
					"npi": [1528041811]
				}]
			},{
				"allowed_amount": 237.29,
				"providers":[{
					"billed_charge": 316.38,
					"npi": [1528041811]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "330528802"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 29.92,
					"npi": [1699868398]
				},{
					"billed_charge": 38.76,
					"npi": [1699868398]
				}]
			},{
				"allowed_amount": 4.00,
				"providers":[{
					"billed_charge": 14.96,
					"npi": [1699868398]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "454989022"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 122.00,
					"npi": [1801152566]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "461246570"
			},
			"service_code": ["21", "23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 11.00,
					"npi": [1679816201]
				},{
					"billed_charge": 1172.00,
					"npi": [1679816201]
				},{
					"billed_charge": 290.00,
					"npi": [1679816201]
				},{
					"billed_charge": 561.00,
					"npi": [1679816201]
				}]
			},{
				"allowed_amount": 1.00,
				"providers":[{
					"billed_charge": 11.00,
					"npi": [1679816201]
				}]
			},{
				"allowed_amount": 11.00,
				"providers":[{
					"billed_charge": 106.00,
					"npi": [1679816201]
				}]
			},{
				"allowed_amount": 13.00,
				"providers":[{
					"billed_charge": 119.00,
					"npi": [1679816201]
				}]
			},{
				"allowed_amount": 2.00,
				"providers":[{
					"billed_charge": 2.00,
					"npi": [1679816201]
				}]
			},{
				"allowed_amount": 3.00,
				"providers":[{
					"billed_charge": 29.00,
					"npi": [1679816201]
				}]
			},{
				"allowed_amount": 4.00,
				"providers":[{
					"billed_charge": 34.00,
					"npi": [1679816201]
				},{
					"billed_charge": 4.00,
					"npi": [1679816201]
				}]
			},{
				"allowed_amount": 5.00,
				"providers":[{
					"billed_charge": 48.00,
					"npi": [1679816201]
				}]
			},{
				"allowed_amount": 6.00,
				"providers":[{
					"billed_charge": 53.00,
					"npi": [1679816201]
				}]
			},{
				"allowed_amount": 7.00,
				"providers":[{
					"billed_charge": 65.00,
					"npi": [1679816201]
				},{
					"billed_charge": 69.00,
					"npi": [1679816201]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "463621746"
			},
			"service_code": ["65"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 1.41,
					"npi": [1467889360]
				},{
					"billed_charge": 2.82,
					"npi": [1467889360]
				},{
					"billed_charge": 5.69,
					"npi": [1467889360]
				},{
					"billed_charge": 32.22,
					"npi": [1467889360]
				},{
					"billed_charge": 55.55,
					"npi": [1467889360]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "720423659"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 22.75,
					"npi": [1821098286]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "950651579"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 266.51,
				"providers":[{
					"billed_charge": 313.54,
					"npi": [1154304475]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "951643327"
			},
			"service_code": ["21"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 2454.90,
					"npi": [1518951300]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "951643360"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 1.36,
				"providers":[{
					"billed_charge": 5.00,
					"npi": [1992752315]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "951644042"
			},
			"service_code": ["21"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 4136.31,
					"npi": [1477502797]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "951684089"
			},
			"service_code": ["22"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 4.85,
				"providers":[{
					"billed_charge": 34.65,
					"npi": [1841233780]
				}]
			},{
				"allowed_amount": 7.06,
				"providers":[{
					"billed_charge": 50.40,
					"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": 3.61,
				"providers":[{
					"billed_charge": 24.08,
					"npi": [1841277704]
				}]
			},{
				"allowed_amount": 7.22,
				"providers":[{
					"billed_charge": 48.16,
					"npi": [1841277704]
				}]
			},{
				"allowed_amount": 7.56,
				"providers":[{
					"billed_charge": 50.40,
					"npi": [1841277704]
				}]
			},{
				"allowed_amount": 34.02,
				"providers":[{
					"billed_charge": 226.80,
					"npi": [1841277704]
				}]
			},{
				"allowed_amount": 45.67,
				"providers":[{
					"billed_charge": 304.44,
					"npi": [1841277704]
				}]
			},{
				"allowed_amount": 68.50,
				"providers":[{
					"billed_charge": 456.66,
					"npi": [1841277704]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "951684089"
			},
			"service_code": ["22"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 34.02,
				"providers":[{
					"billed_charge": 226.80,
					"npi": [ ]
				}]
			},{
				"allowed_amount": 91.33,
				"providers":[{
					"billed_charge": 608.88,
					"npi": [ ]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "951684089"
			},
			"service_code": ["22"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 34.02,
				"providers":[{
					"billed_charge": 226.80,
					"npi": [1659359446]
				}]
			},{
				"allowed_amount": 45.67,
				"providers":[{
					"billed_charge": 304.44,
					"npi": [1659359446]
				}]
			},{
				"allowed_amount": 228.33,
				"providers":[{
					"billed_charge": 1522.20,
					"npi": [1659359446]
				}]
			},{
				"allowed_amount": 77.90,
				"providers":[{
					"billed_charge": 519.36,
					"npi": [1659359446]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "951691313"
			},
			"service_code": ["20", "21", "22"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 28.18,
				"providers":[{
					"billed_charge": 45.63,
					"npi": [1710065933]
				}]
			},{
				"allowed_amount": 384.47,
				"providers":[{
					"billed_charge": 1601.95,
					"npi": [1710065933]
				}]
			},{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 106.43,
					"npi": [1710065933]
				},{
					"billed_charge": 392.00,
					"npi": [1710065933]
				},{
					"billed_charge": 8.30,
					"npi": [1710065933]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "952321786"
			},
			"service_code": ["21"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 20192.75,
					"npi": [1811080526]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "952588614"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 4.00,
				"providers":[{
					"billed_charge": 4.00,
					"npi": [1639101116]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "956003843"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 0.02,
					"npi": [1376513754]
				},{
					"billed_charge": 0.31,
					"npi": [1376513754]
				},{
					"billed_charge": 11.80,
					"npi": [1457321317]
				},{
					"billed_charge": 187.30,
					"npi": [1457321317]
				},{
					"billed_charge": 25.10,
					"npi": [1457321317]
				},{
					"billed_charge": 36.50,
					"npi": [1457321317]
				},{
					"billed_charge": 386.20,
					"npi": [1457321317]
				},{
					"billed_charge": 39.60,
					"npi": [1457321317]
				},{
					"billed_charge": 61.80,
					"npi": [1457321317]
				},{
					"billed_charge": 79.20,
					"npi": [1457321317]
				},{
					"billed_charge": 9.90,
					"npi": [1457321317]
				},{
					"billed_charge": 90.80,
					"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": "371705906"
			},
			"service_code": ["21", "23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 8.66,
				"providers":[{
					"billed_charge": 15.75,
					"npi": [1588908388]
				}]
			},{
				"allowed_amount": 2.00,
				"providers":[{
					"billed_charge": 10.50,
					"npi": [1588908388]
				}]
			},{
				"allowed_amount": 5.00,
				"providers":[{
					"billed_charge": 21.00,
					"npi": [1588908388]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "951644042"
			},
			"service_code": ["21"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 90.21,
					"npi": [1477502797]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "951684089"
			},
			"service_code": ["22"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 2.87,
				"providers":[{
					"billed_charge": 20.53,
					"npi": [1841233780]
				}]
			},{
				"allowed_amount": 3.62,
				"providers":[{
					"billed_charge": 25.88,
					"npi": [1841233780]
				}]
			},{
				"allowed_amount": 0.42,
				"providers":[{
					"billed_charge": 3.00,
					"npi": [1841233780]
				}]
			},{
				"allowed_amount": 0.87,
				"providers":[{
					"billed_charge": 6.21,
					"npi": [1841233780]
				}]
			},{
				"allowed_amount": 0.88,
				"providers":[{
					"billed_charge": 6.27,
					"npi": [1841233780]
				}]
			},{
				"allowed_amount": 11.50,
				"providers":[{
					"billed_charge": 82.12,
					"npi": [1841233780]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "951684089"
			},
			"service_code": ["22", "23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 3.28,
				"providers":[{
					"billed_charge": 6.56,
					"npi": [1841277704]
				}]
			},{
				"allowed_amount": 6.47,
				"providers":[{
					"billed_charge": 12.94,
					"npi": [1841277704]
				}]
			},{
				"allowed_amount": 6.56,
				"providers":[{
					"billed_charge": 13.11,
					"npi": [1841277704]
				}]
			},{
				"allowed_amount": 245.13,
				"providers":[{
					"billed_charge": 490.25,
					"npi": [1841277704]
				}]
			},{
				"allowed_amount": 0.47,
				"providers":[{
					"billed_charge": 3.11,
					"npi": [1841277704]
				}]
			},{
				"allowed_amount": 1.50,
				"providers":[{
					"billed_charge": 3.00,
					"npi": [1841277704]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "951684089"
			},
			"service_code": ["22"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 12.49,
				"providers":[{
					"billed_charge": 83.26,
					"npi": [ ]
				}]
			},{
				"allowed_amount": 22.04,
				"providers":[{
					"billed_charge": 146.95,
					"npi": [ ]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "951684089"
			},
			"service_code": ["22"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 12.49,
				"providers":[{
					"billed_charge": 83.26,
					"npi": [1659359446]
				}]
			},{
				"allowed_amount": 0.60,
				"providers":[{
					"billed_charge": 3.97,
					"npi": [1659359446]
				}]
			},{
				"allowed_amount": 0.93,
				"providers":[{
					"billed_charge": 6.22,
					"npi": [1659359446]
				}]
			},{
				"allowed_amount": 2.10,
				"providers":[{
					"billed_charge": 13.98,
					"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": "454989022"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 283.92,
					"npi": [1801152566]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "461246570"
			},
			"service_code": ["21"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 1596.00,
					"npi": [1679816201]
				},{
					"billed_charge": 5852.00,
					"npi": [1679816201]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "951684089"
			},
			"service_code": ["22"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 89.57,
				"providers":[{
					"billed_charge": 639.75,
					"npi": [1841233780]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "951684089"
			},
			"service_code": ["22"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 3.02,
				"providers":[{
					"billed_charge": 20.13,
					"npi": [1841277704]
				}]
			},{
				"allowed_amount": 3.45,
				"providers":[{
					"billed_charge": 23.00,
					"npi": [1841277704]
				}]
			},{
				"allowed_amount": 5.67,
				"providers":[{
					"billed_charge": 37.80,
					"npi": [1841277704]
				}]
			},{
				"allowed_amount": 15.53,
				"providers":[{
					"billed_charge": 103.50,
					"npi": [1841277704]
				}]
			},{
				"allowed_amount": 1186.11,
				"providers":[{
					"billed_charge": 7907.40,
					"npi": [1841277704]
				}]
			},{
				"allowed_amount": 1309.49,
				"providers":[{
					"billed_charge": 8729.90,
					"npi": [1841277704]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "951684089"
			},
			"service_code": ["22"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 3.02,
				"providers":[{
					"billed_charge": 20.13,
					"npi": [ ]
				}]
			},{
				"allowed_amount": 74.64,
				"providers":[{
					"billed_charge": 497.62,
					"npi": [ ]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "951684089"
			},
			"service_code": ["22"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 3.02,
				"providers":[{
					"billed_charge": 20.13,
					"npi": [1659359446]
				}]
			},{
				"allowed_amount": 33.71,
				"providers":[{
					"billed_charge": 224.75,
					"npi": [1659359446]
				}]
			},{
				"allowed_amount": 72.45,
				"providers":[{
					"billed_charge": 483.00,
					"npi": [1659359446]
				}]
			},{
				"allowed_amount": 84.28,
				"providers":[{
					"billed_charge": 561.88,
					"npi": [1659359446]
				}]
			},{
				"allowed_amount": 696.22,
				"providers":[{
					"billed_charge": 4641.45,
					"npi": [1659359446]
				}]
			},{
				"allowed_amount": 837.66,
				"providers":[{
					"billed_charge": 5584.38,
					"npi": [1659359446]
				}]
			},{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 0.03,
					"npi": [1659359446]
				}]
			},{
				"allowed_amount": 157.80,
				"providers":[{
					"billed_charge": 1051.97,
					"npi": [1659359446]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "951691313"
			},
			"service_code": ["21"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 19.68,
				"providers":[{
					"billed_charge": 82.00,
					"npi": [1710065933]
				}]
			},{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 2897.87,
					"npi": [1710065933]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "952321786"
			},
			"service_code": ["21"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 1902.61,
					"npi": [1811080526]
				}]
			}]
		}]
	},{
		"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": "461246570"
			},
			"service_code": ["21"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 2789.00,
					"npi": [1679816201]
				},{
					"billed_charge": 3400.00,
					"npi": [1679816201]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "951684089"
			},
			"service_code": ["22"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 311.79,
				"providers":[{
					"billed_charge": 2227.06,
					"npi": [1841233780]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "951684089"
			},
			"service_code": ["22"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 77.18,
				"providers":[{
					"billed_charge": 514.50,
					"npi": [1700829199]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "951684089"
			},
			"service_code": ["22"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 77.18,
				"providers":[{
					"billed_charge": 514.50,
					"npi": [1841277704]
				}]
			},{
				"allowed_amount": 411.23,
				"providers":[{
					"billed_charge": 2741.56,
					"npi": [1841277704]
				}]
			},{
				"allowed_amount": 244.20,
				"providers":[{
					"billed_charge": 1628.03,
					"npi": [1841277704]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "951684089"
			},
			"service_code": ["22"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 77.18,
				"providers":[{
					"billed_charge": 514.50,
					"npi": [ ]
				}]
			},{
				"allowed_amount": 244.20,
				"providers":[{
					"billed_charge": 1628.03,
					"npi": [ ]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "951684089"
			},
			"service_code": ["22"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 77.18,
				"providers":[{
					"billed_charge": 514.50,
					"npi": [1659359446]
				}]
			},{
				"allowed_amount": 385.88,
				"providers":[{
					"billed_charge": 2572.50,
					"npi": [1659359446]
				}]
			},{
				"allowed_amount": 411.23,
				"providers":[{
					"billed_charge": 2741.56,
					"npi": [1659359446]
				}]
			},{
				"allowed_amount": 244.20,
				"providers":[{
					"billed_charge": 1628.03,
					"npi": [1659359446]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "951691313"
			},
			"service_code": ["21"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 3299.00,
					"npi": [1710065933]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "952321786"
			},
			"service_code": ["21"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 27268.00,
					"npi": [1811080526]
				}]
			}]
		}]
	},{
		"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": 29.39,
				"providers":[{
					"billed_charge": 74.00,
					"npi": [1326076290,1326138892,1972531838]
				}]
			},{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 74.00,
					"npi": [1033372453,1174865349,1326076290,1326138892,1356091383,1366903486,1376571505,1538780127,1801425244,1831696194,1962439505,1972531838]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "237064656"
			},
			"service_code": ["23"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 131.00,
					"npi": [1275572372,1366510661]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "371759104"
			},
			"service_code": ["23"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 52.00,
					"npi": [1720650781]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "453023491"
			},
			"service_code": ["23"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 59.00,
					"npi": [1285651265]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "462690851"
			},
			"service_code": ["23"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 70.00,
					"npi": [1043259310,1073581914,1114196862,1174835359,1184244014,1265460893,1306932330,1316039977,1326276072,1366486243,1609829142,1689834012,1700870912,1770534067,1952668931]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "464467849"
			},
			"service_code": ["23"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 76.00,
					"npi": [1558578955]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "800212487"
			},
			"service_code": ["23"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 106.57,
					"npi": [1134355597]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "811641281"
			},
			"service_code": ["23"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 65.00,
					"npi": [1255569786,1326087925]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "871451688"
			},
			"service_code": ["21", "23"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 93.61,
					"npi": [1124698139,1225322290,1629587373]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "873202637"
			},
			"service_code": ["23"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 50.00,
					"npi": [1821752213]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "880303529"
			},
			"service_code": ["23"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 81.00,
					"npi": [1548656796]
				}]
			},{
				"allowed_amount": 81.00,
				"providers":[{
					"billed_charge": 81.00,
					"npi": [1548656796]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "921846432"
			},
			"service_code": ["23"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 78.00,
					"npi": [1851928386]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "942494000"
			},
			"service_code": ["23"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 61.00,
					"npi": [1003313453]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "942494000"
			},
			"service_code": ["23"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 61.00,
					"npi": [1972149045]
				}]
			}]
		}]
	},{
		"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": "133757370"
			},
			"service_code": ["81"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 9.34,
				"providers":[{
					"billed_charge": 26.25,
					"npi": [1538144910]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "161536202"
			},
			"service_code": ["81"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 14.35,
				"providers":[{
					"billed_charge": 22.08,
					"npi": [1396746673]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "202138632"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 30.00,
					"npi": [1780796235]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "233059262"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 12.75,
				"providers":[{
					"billed_charge": 41.00,
					"npi": [1245221050]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "251778644"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 12.75,
					"npi": [1407813603]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "251854772"
			},
			"service_code": ["22"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 59.00,
					"npi": [1568435477]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "272973102"
			},
			"service_code": ["20"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 12.60,
				"providers":[{
					"billed_charge": 21.00,
					"npi": [1053762005,1629581764]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "330528802"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 115.00,
					"npi": [1699868398]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "330735143"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 12.00,
				"providers":[{
					"billed_charge": 12.00,
					"npi": [1275066334]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "371705906"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 12.75,
				"providers":[{
					"billed_charge": 54.00,
					"npi": [1588908388]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "454989022"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 45.45,
					"npi": [1801152566]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "461246570"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 12.75,
				"providers":[{
					"billed_charge": 63.00,
					"npi": [1679816201]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "462993772"
			},
			"service_code": ["81"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 3.08,
				"providers":[{
					"billed_charge": 17.00,
					"npi": [1023439627]
				}]
			},{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 17.00,
					"npi": [1023439627]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "710897031"
			},
			"service_code": ["81"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 9.34,
				"providers":[{
					"billed_charge": 38.22,
					"npi": [1619913449,1780620526]
				}]
			},{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 38.22,
					"npi": [1366479099,1780620526]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "720423659"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 44.00,
					"npi": [1821098286]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "840611484"
			},
			"service_code": ["81"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 9.34,
				"providers":[{
					"billed_charge": 26.25,
					"npi": [1659352276]
				},{
					"billed_charge": 10.00,
					"npi": [1659352276]
				}]
			},{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 26.25,
					"npi": [1659352276]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "860137567"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 46.20,
				"providers":[{
					"billed_charge": 66.00,
					"npi": [1174512792]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "870737749"
			},
			"service_code": ["20", "81"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 7.47,
				"providers":[{
					"billed_charge": 14.57,
					"npi": [1427034990,1720279805]
				}]
			},{
				"allowed_amount": 9.34,
				"providers":[{
					"billed_charge": 14.57,
					"npi": [1962503805]
				}]
			},{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 14.57,
					"npi": [1427034990,1558361907,1578549044,1588621106,1720279805,1861018574,1902887227]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "951684089"
			},
			"service_code": ["22"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 2.82,
				"providers":[{
					"billed_charge": 20.16,
					"npi": [1841233780]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "951684089"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 10.08,
				"providers":[{
					"billed_charge": 20.16,
					"npi": [1841277704]
				}]
			},{
				"allowed_amount": 20.16,
				"providers":[{
					"billed_charge": 40.32,
					"npi": [1841277704]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "951684089"
			},
			"service_code": ["22"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 3.02,
				"providers":[{
					"billed_charge": 20.16,
					"npi": [1659359446]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "951934652"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 180.00,
					"npi": [1043215379]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "952801772"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 9.00,
					"npi": [1932106986]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "953154530"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 12.51,
				"providers":[{
					"billed_charge": 28.00,
					"npi": [1962444059]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "956111785"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 7.50,
				"providers":[{
					"billed_charge": 15.00,
					"npi": [1003891482,1225019557,1265435606,1700012457,1710474176]
				}]
			}]
		}]
	},{
		"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": [1063026243,1093564684]
				}]
			},{
				"allowed_amount": 350.00,
				"billing_code_modifier": ["GP"],
				"providers":[{
					"billed_charge": 187.72,
					"npi": [1063026243,1093564684,1194350744]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "260019293"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 414.00,
				"billing_code_modifier": ["GP"],
				"providers":[{
					"billed_charge": 139.00,
					"npi": [1700988433]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "261911128"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"billing_code_modifier": ["GP"],
				"providers":[{
					"billed_charge": 224.00,
					"npi": [1710606009]
				}]
			},{
				"allowed_amount": 250.00,
				"billing_code_modifier": ["GP"],
				"providers":[{
					"billed_charge": 224.00,
					"npi": [1659722320,1669249769,1710606009,1912684325]
				}]
			},{
				"allowed_amount": 250.00,
				"billing_code_modifier": ["59", "GP"],
				"providers":[{
					"billed_charge": 224.00,
					"npi": [1750559431]
				}]
			},{
				"allowed_amount": 350.00,
				"billing_code_modifier": ["GP"],
				"providers":[{
					"billed_charge": 224.00,
					"npi": [1710606009,1891486619]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "262193316"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 108.29,
				"billing_code_modifier": ["GP", "59"],
				"providers":[{
					"billed_charge": 140.00,
					"npi": [1780154237]
				}]
			}]
		},{
			"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": "463294528"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 97.46,
				"billing_code_modifier": ["GP"],
				"providers":[{
					"billed_charge": 100.00,
					"npi": [1285248906]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "464813023"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 97.46,
				"providers":[{
					"billed_charge": 150.00,
					"npi": [1598429821,1902475700]
				}]
			}]
		},{
			"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": [1669148052]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "825387674"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 86.63,
				"billing_code_modifier": ["GP"],
				"providers":[{
					"billed_charge": 150.00,
					"npi": [1679921084]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "870737749"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 108.29,
				"billing_code_modifier": ["GP"],
				"providers":[{
					"billed_charge": 332.88,
					"npi": [1033801493]
				}]
			}]
		},{
			"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": "953579976"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"billing_code_modifier": ["GP"],
				"providers":[{
					"billed_charge": 270.00,
					"npi": [1356102354]
				}]
			},{
				"allowed_amount": 250.00,
				"billing_code_modifier": ["GP"],
				"providers":[{
					"billed_charge": 270.00,
					"npi": [1356102354,1366019010,1366195042,1497357008,1669645081,1932821162]
				},{
					"billed_charge": 323.00,
					"npi": [1053568196,1356102354,1538868112]
				}]
			},{
				"allowed_amount": 30.00,
				"billing_code_modifier": ["GP"],
				"providers":[{
					"billed_charge": 270.00,
					"npi": [1164179362,1386692622,1497357008]
				}]
			},{
				"allowed_amount": 360.00,
				"billing_code_modifier": ["GP"],
				"providers":[{
					"billed_charge": 270.00,
					"npi": [1366019010,1659180636]
				}]
			}]
		}]
	},{
		"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": 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": 30.00,
				"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": [1073329504]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "261911128"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 250.00,
				"billing_code_modifier": ["GP"],
				"providers":[{
					"billed_charge": 263.00,
					"npi": [1588484042,1750559431]
				}]
			},{
				"allowed_amount": 85.00,
				"billing_code_modifier": ["GP"],
				"providers":[{
					"billed_charge": 263.00,
					"npi": [1750559431]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "330142586"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 86.63,
				"billing_code_modifier": ["59", "GP"],
				"providers":[{
					"billed_charge": 95.00,
					"npi": [1043930183]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "330493339"
			},
			"service_code": ["10", "11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 250.00,
				"billing_code_modifier": ["GP"],
				"providers":[{
					"billed_charge": 120.00,
					"npi": [1366997702]
				}]
			},{
				"allowed_amount": 250.00,
				"providers":[{
					"billed_charge": 250.00,
					"npi": [1366997702,1932671526]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "455215138"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 108.29,
				"billing_code_modifier": ["GP", "59"],
				"providers":[{
					"billed_charge": 270.88,
					"npi": [1114282779]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "463294528"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 97.46,
				"billing_code_modifier": ["GP"],
				"providers":[{
					"billed_charge": 100.00,
					"npi": [1780815852]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "464813023"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 97.46,
				"providers":[{
					"billed_charge": 175.00,
					"npi": [1194316430,1366226474,1568281491,1598429821,1740869668,1770926271,1912797358,1922874866,1972262541]
				}]
			}]
		},{
			"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": [1063046878,1073312492,1902505910]
				}]
			}]
		},{
			"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": [1306412283]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "825387674"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 86.63,
				"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": 108.29,
				"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": 250.00,
				"billing_code_modifier": ["GP"],
				"providers":[{
					"billed_charge": 270.00,
					"npi": [1669645081,1982237772,1992362024]
				},{
					"billed_charge": 323.00,
					"npi": [1073161261,1366195042,1932821162]
				}]
			},{
				"allowed_amount": 360.00,
				"billing_code_modifier": ["GP"],
				"providers":[{
					"billed_charge": 270.00,
					"npi": [1669645081]
				}]
			}]
		}]
	},{
		"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": "133757370"
			},
			"service_code": ["81"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 10.56,
				"providers":[{
					"billed_charge": 51.45,
					"npi": [1538144910]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "161536202"
			},
			"service_code": ["81"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 17.16,
				"providers":[{
					"billed_charge": 26.40,
					"npi": [1396746673]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "233059262"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 84.19,
				"providers":[{
					"billed_charge": 493.00,
					"npi": [1245221050]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "251778644"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 114.00,
					"npi": [1407813603]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "251854772"
			},
			"service_code": ["22"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 69.00,
					"npi": [1568435477]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "274470693"
			},
			"service_code": ["22"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"billing_code_modifier": ["26"],
				"providers":[{
					"billed_charge": 41.40,
					"npi": [1801946447]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "330449527"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 398.65,
				"providers":[{
					"billed_charge": 469.00,
					"npi": [1528041811]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "330528802"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 1014.00,
					"npi": [1699868398]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "371705906"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 84.19,
				"providers":[{
					"billed_charge": 795.00,
					"npi": [1588908388]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "461246570"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 84.19,
				"providers":[{
					"billed_charge": 406.00,
					"npi": [1679816201]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "461251630"
			},
			"service_code": ["21"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"billing_code_modifier": ["26"],
				"providers":[{
					"billed_charge": 65.00,
					"npi": [1225168032]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "710897031"
			},
			"service_code": ["81"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 10.56,
				"providers":[{
					"billed_charge": 105.79,
					"npi": [1619913449,1780620526]
				}]
			},{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 76.58,
					"npi": [1780620526]
				},{
					"billed_charge": 105.79,
					"npi": [1366479099]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "720423659"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 718.00,
					"npi": [1821098286]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "840405257"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 266.24,
					"npi": [1295431765,1932112125]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "840611484"
			},
			"service_code": ["81"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 10.56,
				"providers":[{
					"billed_charge": 38.25,
					"npi": [1659352276]
				},{
					"billed_charge": 51.45,
					"npi": [1659352276]
				}]
			},{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 51.45,
					"npi": [1659352276]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "860137567"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 284.20,
				"providers":[{
					"billed_charge": 406.00,
					"npi": [1174512792]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "870737749"
			},
			"service_code": ["81"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 8.45,
				"providers":[{
					"billed_charge": 36.96,
					"npi": [1720279805]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "940562680"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 97.64,
				"providers":[{
					"billed_charge": 386.00,
					"npi": [1659439834]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "950651579"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 398.65,
				"providers":[{
					"billed_charge": 469.00,
					"npi": [1154304475]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "951643360"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 83.38,
				"providers":[{
					"billed_charge": 336.00,
					"npi": [1992752315]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "951684089"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 196.00,
				"providers":[{
					"billed_charge": 391.99,
					"npi": [1841277704]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "951684089"
			},
			"service_code": ["22"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 58.80,
				"providers":[{
					"billed_charge": 391.99,
					"npi": [ ]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "951684089"
			},
			"service_code": ["22", "23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 196.00,
				"providers":[{
					"billed_charge": 391.99,
					"npi": [1659359446]
				}]
			},{
				"allowed_amount": 58.80,
				"providers":[{
					"billed_charge": 391.99,
					"npi": [1659359446]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "951690977"
			},
			"service_code": ["22"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 190.45,
				"providers":[{
					"billed_charge": 293.00,
					"npi": [1124073366]
				}]
			}]
		},{
			"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": "952321786"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 83.38,
				"providers":[{
					"billed_charge": 927.00,
					"npi": [1811080526]
				}]
			}]
		},{
			"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": ["23"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"billing_code_modifier": ["26"],
				"providers":[{
					"billed_charge": 19.09,
					"npi": [1619947330]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "953154530"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 82.62,
				"providers":[{
					"billed_charge": 324.00,
					"npi": [1962444059]
				}]
			}]
		},{
			"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]
				}]
			}]
		}]
	},{
		"name": "PR CHG LIPID PANEL",
		"billing_code_type": "CPT",
		"billing_code_type_version": "2026",
		"billing_code": "80061",
		"description": "Lipid Panel",
		"allowed_amounts":[{
			"tin": {
				"type": "ein",
				"value": "133757370"
			},
			"service_code": ["81"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 13.39,
				"billing_code_modifier": ["59"],
				"providers":[{
					"billed_charge": 103.95,
					"npi": [1538144910]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "330028534"
			},
			"service_code": ["21"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"billing_code_modifier": ["26"],
				"providers":[{
					"billed_charge": 19.13,
					"npi": [1316031438]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "461246570"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 58.28,
				"providers":[{
					"billed_charge": 304.00,
					"npi": [1679816201]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "461251630"
			},
			"service_code": ["21"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"billing_code_modifier": ["26"],
				"providers":[{
					"billed_charge": 27.50,
					"npi": [1225168032]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "710897031"
			},
			"service_code": ["81"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 13.39,
				"providers":[{
					"billed_charge": 177.90,
					"npi": [1780620526]
				}]
			},{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 177.90,
					"npi": [1366479099]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "840611484"
			},
			"service_code": ["81"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 13.39,
				"providers":[{
					"billed_charge": 107.10,
					"npi": [1659352276]
				}]
			},{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 107.10,
					"npi": [1659352276]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "870737749"
			},
			"service_code": ["81"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 10.71,
				"providers":[{
					"billed_charge": 46.87,
					"npi": [1720279805]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "951691313"
			},
			"service_code": ["22"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 225.00,
					"npi": [1710065933]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "956003843"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 21.42,
				"providers":[{
					"billed_charge": 526.69,
					"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": "251778644"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 39.25,
					"npi": [1407813603]
				}]
			}]
		},{
			"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": "330528802"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 30.56,
				"providers":[{
					"billed_charge": 180.00,
					"npi": [1699868398]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "371705906"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 30.86,
				"providers":[{
					"billed_charge": 135.00,
					"npi": [1588908388]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "461251630"
			},
			"service_code": ["21"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"billing_code_modifier": ["26"],
				"providers":[{
					"billed_charge": 15.25,
					"npi": [1225168032]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "710897031"
			},
			"service_code": ["81"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 57.16,
					"npi": [1366479099]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "840611484"
			},
			"service_code": ["81"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 3.17,
				"providers":[{
					"billed_charge": 27.25,
					"npi": [1659352276]
				},{
					"billed_charge": 39.90,
					"npi": [1740262880]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "860137567"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 86.80,
				"providers":[{
					"billed_charge": 124.00,
					"npi": [1174512792]
				}]
			}]
		},{
			"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": "940562680"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 35.78,
				"providers":[{
					"billed_charge": 125.00,
					"npi": [1659439834]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "951643360"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 30.56,
				"providers":[{
					"billed_charge": 188.00,
					"npi": [1992752315]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "951934652"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 213.00,
					"npi": [1043215379]
				}]
			}]
		},{
			"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": "953782169"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 103.70,
				"providers":[{
					"billed_charge": 122.00,
					"npi": [1407839921]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "956003843"
			},
			"service_code": ["22", "23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 0.00,
				"billing_code_modifier": ["59"],
				"providers":[{
					"billed_charge": 47.80,
					"npi": [1700239779]
				}]
			},{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 85.44,
					"npi": [1376513754,1457321317]
				}]
			}]
		}]
	},{
		"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": "ein",
				"value": "208785833"
			},
			"service_code": ["20"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 2.11,
				"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": [1013557925,1053762005,1316438807,1366299315,1629581764]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "461251630"
			},
			"service_code": ["21"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"billing_code_modifier": ["26"],
				"providers":[{
					"billed_charge": 12.00,
					"npi": [1225168032]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "473999171"
			},
			"service_code": ["20"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 2.11,
				"billing_code_modifier": ["QW"],
				"providers":[{
					"billed_charge": 10.00,
					"npi": [1457388720]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "720423659"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 0.00,
				"billing_code_modifier": ["59"],
				"providers":[{
					"billed_charge": 78.00,
					"npi": [1821098286]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "824454688"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 14.00,
					"npi": [1285877787]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "840611484"
			},
			"service_code": ["81"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 34.65,
					"npi": [1659352276]
				}]
			}]
		},{
			"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": [1184252439]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "870737749"
			},
			"service_code": ["11", "20"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 2.25,
				"billing_code_modifier": ["QW"],
				"providers":[{
					"billed_charge": 9.79,
					"npi": [1255737847,1467006148,1548248511,1619364296,1659371995,1962503805]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "951643327"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 19.57,
				"providers":[{
					"billed_charge": 176.90,
					"npi": [1518951300]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "952321786"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 19.57,
				"providers":[{
					"billed_charge": 102.00,
					"npi": [1811080526]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "956003843"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 50.83,
					"npi": [1376513754,1457321317]
				}]
			}]
		}]
	},{
		"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": 13.42,
				"providers":[{
					"billed_charge": 85.00,
					"npi": [1588712020]
				}]
			},{
				"allowed_amount": 20.96,
				"providers":[{
					"billed_charge": 85.00,
					"npi": [1588712020]
				}]
			},{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 85.00,
					"npi": [1588712020]
				}]
			},{
				"allowed_amount": 85.00,
				"providers":[{
					"billed_charge": 85.00,
					"npi": [1588712020]
				}]
			}]
		}]
	},{
		"name": "PR CHG ASSAY OF TOTAL ESTRADIOL",
		"billing_code_type": "CPT",
		"billing_code_type_version": "2026",
		"billing_code": "82670",
		"description": "Assay of Total Estradiol",
		"allowed_amounts":[{
			"tin": {
				"type": "ein",
				"value": "330735143"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 36.32,
				"providers":[{
					"billed_charge": 94.00,
					"npi": [1275066334]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "330901743"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 33.53,
				"providers":[{
					"billed_charge": 99.00,
					"npi": [1639524424]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "710897031"
			},
			"service_code": ["81"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 27.94,
				"providers":[{
					"billed_charge": 268.89,
					"npi": [1780620526]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "840611484"
			},
			"service_code": ["81"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 27.94,
				"providers":[{
					"billed_charge": 196.12,
					"npi": [1659352276]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "870737749"
			},
			"service_code": ["81"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 22.35,
				"providers":[{
					"billed_charge": 97.79,
					"npi": [1720279805]
				}]
			},{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 97.79,
					"npi": [1588621106]
				}]
			}]
		}]
	},{
		"name": "PR CHG ASSAY THYROID STIM HORMONE",
		"billing_code_type": "CPT",
		"billing_code_type_version": "2026",
		"billing_code": "84443",
		"description": "Assay Thyroid Stim Hormone",
		"allowed_amounts":[{
			"tin": {
				"type": "ein",
				"value": "133757370"
			},
			"service_code": ["81"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 16.80,
				"providers":[{
					"billed_charge": 109.20,
					"npi": [1538144910]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "461251630"
			},
			"service_code": ["21"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"billing_code_modifier": ["26"],
				"providers":[{
					"billed_charge": 37.50,
					"npi": [1225168032]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "710897031"
			},
			"service_code": ["81"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 156.74,
					"npi": [1366479099,1780620526]
				}]
			},{
				"allowed_amount": 16.80,
				"providers":[{
					"billed_charge": 156.74,
					"npi": [1780620526]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "840611484"
			},
			"service_code": ["81"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 109.20,
					"npi": [1659352276]
				}]
			},{
				"allowed_amount": 16.80,
				"providers":[{
					"billed_charge": 199.11,
					"npi": [1659352276]
				},{
					"billed_charge": 109.20,
					"npi": [1659352276]
				},{
					"billed_charge": 20.50,
					"npi": [1659352276]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "870737749"
			},
			"service_code": ["81"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 13.44,
				"providers":[{
					"billed_charge": 58.80,
					"npi": [1720279805]
				}]
			},{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 58.80,
					"npi": [1588621106]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "951684089"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 67.16,
				"providers":[{
					"billed_charge": 134.32,
					"npi": [1841277704]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "951691313"
			},
			"service_code": ["22"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 290.00,
					"npi": [1710065933]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "951750445"
			},
			"service_code": ["81"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 108.00,
					"npi": [1396287082]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "956003843"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 275.78,
					"npi": [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": "233059262"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 83.84,
				"providers":[{
					"billed_charge": 480.00,
					"npi": [1245221050]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "330028534"
			},
			"service_code": ["21"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"billing_code_modifier": ["26"],
				"providers":[{
					"billed_charge": 17.82,
					"npi": [1316031438]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "461246570"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 83.84,
				"providers":[{
					"billed_charge": 431.00,
					"npi": [1679816201]
				}]
			},{
				"allowed_amount": 167.68,
				"providers":[{
					"billed_charge": 862.00,
					"npi": [1679816201]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "870737749"
			},
			"service_code": ["81"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"billing_code_modifier": ["91"],
				"providers":[{
					"billed_charge": 43.65,
					"npi": [1427034990]
				}]
			},{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 43.65,
					"npi": [1427034990]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "941105628"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 94.31,
				"billing_code_modifier": ["91"],
				"providers":[{
					"billed_charge": 365.00,
					"npi": [1558080861]
				}]
			},{
				"allowed_amount": 94.31,
				"providers":[{
					"billed_charge": 365.00,
					"npi": [1558080861]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "950651579"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 223.55,
				"providers":[{
					"billed_charge": 263.00,
					"npi": [1154304475]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "951643360"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 83.03,
				"providers":[{
					"billed_charge": 213.00,
					"npi": [1992752315]
				}]
			},{
				"allowed_amount": 166.06,
				"providers":[{
					"billed_charge": 426.00,
					"npi": [1992752315]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "951684089"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 88.71,
				"providers":[{
					"billed_charge": 177.41,
					"npi": [1841277704]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "952367304"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 223.55,
				"providers":[{
					"billed_charge": 263.00,
					"npi": [1396728630]
				}]
			},{
				"allowed_amount": 447.10,
				"providers":[{
					"billed_charge": 526.00,
					"npi": [1396728630]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "953782169"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 223.55,
				"providers":[{
					"billed_charge": 263.00,
					"npi": [1407839921]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "956003843"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 135.19,
					"npi": [1376513754]
				},{
					"billed_charge": 270.38,
					"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": "161536202"
			},
			"service_code": ["81"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 29.27,
				"providers":[{
					"billed_charge": 45.03,
					"npi": [1396746673]
				}]
			}]
		},{
			"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": "330901743"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 18.06,
				"providers":[{
					"billed_charge": 99.00,
					"npi": [1639524424]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "461251630"
			},
			"service_code": ["21"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"billing_code_modifier": ["26"],
				"providers":[{
					"billed_charge": 37.00,
					"npi": [1225168032]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "710897031"
			},
			"service_code": ["81"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 15.05,
				"providers":[{
					"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]
				},{
					"billed_charge": 18.50,
					"npi": [1659352276]
				}]
			},{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 126.00,
					"npi": [1740262880]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "870737749"
			},
			"service_code": ["81"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 12.04,
				"providers":[{
					"billed_charge": 52.68,
					"npi": [1720279805]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "940562680"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 95.70,
				"providers":[{
					"billed_charge": 395.00,
					"npi": [1659439834]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "951643360"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 66.04,
				"providers":[{
					"billed_charge": 243.00,
					"npi": [1992752315]
				}]
			}]
		},{
			"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": "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": [1376513754]
				}]
			}]
		}]
	},{
		"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": 309.00,
					"npi": [1245221050]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "371705906"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 55.74,
				"providers":[{
					"billed_charge": 188.00,
					"npi": [1588908388]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "461246570"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 55.74,
				"providers":[{
					"billed_charge": 455.00,
					"npi": [1679816201]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "461251630"
			},
			"service_code": ["21"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"billing_code_modifier": ["26"],
				"providers":[{
					"billed_charge": 21.00,
					"npi": [1225168032]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "840405257"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 162.37,
					"npi": [1295431765]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "860137567"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 164.50,
				"providers":[{
					"billed_charge": 235.00,
					"npi": [1174512792]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "870737748"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 7.52,
				"billing_code_modifier": ["QW"],
				"providers":[{
					"billed_charge": 26.32,
					"npi": [1790139434]
				}]
			}]
		},{
			"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": [1417580028,1548248511,1619364296,1659371995,1962503805]
				}]
			},{
				"allowed_amount": 0.00,
				"billing_code_modifier": ["QW"],
				"providers":[{
					"billed_charge": 26.32,
					"npi": [1417580028]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "950651579"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 238.00,
				"providers":[{
					"billed_charge": 280.00,
					"npi": [1154304475]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "951684089"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 231.55,
				"providers":[{
					"billed_charge": 463.10,
					"npi": [1841277704]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "951684089"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 231.55,
				"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": "956003843"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 423.95,
					"npi": [1457321317]
				},{
					"billed_charge": 847.90,
					"npi": [1376513754]
				}]
			}]
		}]
	},{
		"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": "133757370"
			},
			"service_code": ["81"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 7.77,
				"providers":[{
					"billed_charge": 39.90,
					"npi": [1538144910]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "161536202"
			},
			"service_code": ["81"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 12.63,
				"providers":[{
					"billed_charge": 19.43,
					"npi": [1396746673]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "233059262"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 45.58,
				"providers":[{
					"billed_charge": 340.00,
					"npi": [1245221050]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "251854772"
			},
			"service_code": ["22"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 51.00,
					"npi": [1568435477]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "274470693"
			},
			"service_code": ["22"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"billing_code_modifier": ["26"],
				"providers":[{
					"billed_charge": 29.90,
					"npi": [1801946447]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "330028534"
			},
			"service_code": ["21"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"billing_code_modifier": ["26"],
				"providers":[{
					"billed_charge": 11.10,
					"npi": [1316031438]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "330449527"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 168.30,
				"providers":[{
					"billed_charge": 198.00,
					"npi": [1528041811]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "330528802"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 184.00,
					"npi": [1699868398]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "330901743"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 9.32,
				"providers":[{
					"billed_charge": 30.00,
					"npi": [1639524424]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "371705906"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 45.58,
				"providers":[{
					"billed_charge": 150.00,
					"npi": [1588908388]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "454989022"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 127.11,
					"npi": [1801152566]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "461246570"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 45.58,
				"providers":[{
					"billed_charge": 306.00,
					"npi": [1679816201]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "461251630"
			},
			"service_code": ["21"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"billing_code_modifier": ["26"],
				"providers":[{
					"billed_charge": 22.00,
					"npi": [1225168032]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "710897031"
			},
			"service_code": ["81"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 7.77,
				"providers":[{
					"billed_charge": 54.65,
					"npi": [1780620526]
				}]
			},{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 54.65,
					"npi": [1366479099,1780620526]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "720423659"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 259.00,
					"npi": [1821098286]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "840405257"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 279.11,
					"npi": [1295431765,1932112125]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "840611484"
			},
			"service_code": ["81"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 7.77,
				"providers":[{
					"billed_charge": 26.25,
					"npi": [1659352276]
				},{
					"billed_charge": 92.06,
					"npi": [1659352276]
				},{
					"billed_charge": 39.90,
					"npi": [1659352276]
				}]
			},{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 39.90,
					"npi": [1659352276]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "860137567"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 142.80,
				"providers":[{
					"billed_charge": 204.00,
					"npi": [1174512792]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "870737749"
			},
			"service_code": ["81"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 6.22,
				"providers":[{
					"billed_charge": 27.20,
					"npi": [1720279805]
				}]
			},{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 27.20,
					"npi": [1588621106]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "940562680"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 52.85,
				"providers":[{
					"billed_charge": 217.00,
					"npi": [1659439834]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "941105628"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 51.26,
				"providers":[{
					"billed_charge": 213.00,
					"npi": [1558080861]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "941105628"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 45.58,
				"providers":[{
					"billed_charge": 213.00,
					"npi": [1013062769]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "950651579"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 168.30,
				"providers":[{
					"billed_charge": 198.00,
					"npi": [1154304475]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "951643360"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 45.14,
				"providers":[{
					"billed_charge": 175.00,
					"npi": [1992752315]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "951684089"
			},
			"service_code": ["22"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 15.40,
				"providers":[{
					"billed_charge": 110.00,
					"npi": [1841233780]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "951684089"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 55.00,
				"providers":[{
					"billed_charge": 110.00,
					"npi": [1841277704]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "951684089"
			},
			"service_code": ["22"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 16.50,
				"providers":[{
					"billed_charge": 110.00,
					"npi": [ ]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "951684089"
			},
			"service_code": ["22", "23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 16.50,
				"providers":[{
					"billed_charge": 110.00,
					"npi": [1659359446]
				}]
			},{
				"allowed_amount": 55.00,
				"providers":[{
					"billed_charge": 110.00,
					"npi": [1659359446]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "951690977"
			},
			"service_code": ["22"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 75.40,
				"providers":[{
					"billed_charge": 116.00,
					"npi": [1124073366]
				}]
			}]
		},{
			"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": "951934652"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 325.00,
					"npi": [1043215379]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "952321786"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 45.14,
				"providers":[{
					"billed_charge": 410.00,
					"npi": [1811080526]
				}]
			}]
		},{
			"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": ["23"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"billing_code_modifier": ["26"],
				"providers":[{
					"billed_charge": 13.69,
					"npi": [1619947330]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "953154530"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 44.73,
				"providers":[{
					"billed_charge": 184.00,
					"npi": [1962444059]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "953782169"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 198.00,
					"npi": [1407839921]
				}]
			},{
				"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]
				}]
			}]
		}]
	},{
		"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": [1316438807,1366168031,1366299315]
				}]
			},{
				"allowed_amount": 0.00,
				"billing_code_modifier": ["QW", "59"],
				"providers":[{
					"billed_charge": 61.00,
					"npi": [1316438807,1366168031,1366299315]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "274666463"
			},
			"service_code": ["20"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"billing_code_modifier": ["QW"],
				"providers":[{
					"billed_charge": 80.00,
					"npi": [1235265844,1457391740,1962463901]
				}]
			},{
				"allowed_amount": 0.00,
				"billing_code_modifier": ["QW", "59"],
				"providers":[{
					"billed_charge": 80.00,
					"npi": [1235265844,1457391740,1962463901]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "330449527"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 71.40,
				"billing_code_modifier": ["QW"],
				"providers":[{
					"billed_charge": 84.00,
					"npi": [1528041811]
				}]
			}]
		},{
			"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": [1194755363]
				}]
			},{
				"allowed_amount": 16.91,
				"billing_code_modifier": ["QW", "59"],
				"providers":[{
					"billed_charge": 35.00,
					"npi": [1194755363]
				}]
			},{
				"allowed_amount": 0.00,
				"billing_code_modifier": ["QW"],
				"providers":[{
					"billed_charge": 35.00,
					"npi": [1194755363,1457388720]
				}]
			},{
				"allowed_amount": 0.00,
				"billing_code_modifier": ["QW", "59"],
				"providers":[{
					"billed_charge": 35.00,
					"npi": [1194755363,1457388720]
				}]
			}]
		}]
	},{
		"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": "330456095"
			},
			"service_code": ["23"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 79.06,
				"billing_code_modifier": ["26"],
				"providers":[{
					"billed_charge": 221.00,
					"npi": [1306043195]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "621637129"
			},
			"service_code": ["81"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 79.41,
				"billing_code_modifier": ["XS"],
				"providers":[{
					"billed_charge": 204.00,
					"npi": [1467433292]
				}]
			},{
				"allowed_amount": 79.41,
				"providers":[{
					"billed_charge": 204.00,
					"npi": [1467433292]
				}]
			},{
				"allowed_amount": 397.05,
				"billing_code_modifier": ["XS"],
				"providers":[{
					"billed_charge": 1020.00,
					"npi": [1467433292]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "830565295"
			},
			"service_code": ["21"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"billing_code_modifier": ["26"],
				"providers":[{
					"billed_charge": 340.80,
					"npi": [1821129057]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "840611484"
			},
			"service_code": ["81"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 79.41,
				"providers":[{
					"billed_charge": 186.90,
					"npi": [1104045749]
				}]
			},{
				"allowed_amount": 158.82,
				"providers":[{
					"billed_charge": 373.80,
					"npi": [1104045749]
				}]
			},{
				"allowed_amount": 238.23,
				"providers":[{
					"billed_charge": 560.70,
					"npi": [1073599478]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "870737749"
			},
			"service_code": ["11", "21", "22"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 30.14,
				"billing_code_modifier": ["26"],
				"providers":[{
					"billed_charge": 139.93,
					"npi": [1548580756,1811260169]
				}]
			},{
				"allowed_amount": 37.68,
				"billing_code_modifier": ["26"],
				"providers":[{
					"billed_charge": 139.93,
					"npi": [1053723833]
				}]
			},{
				"allowed_amount": 60.29,
				"billing_code_modifier": ["26"],
				"providers":[{
					"billed_charge": 279.86,
					"npi": [1548580756,1811260169]
				}]
			},{
				"allowed_amount": 63.53,
				"providers":[{
					"billed_charge": 284.48,
					"npi": [1548580756,1811260169]
				}]
			},{
				"allowed_amount": 79.41,
				"providers":[{
					"billed_charge": 284.48,
					"npi": [1053723833]
				}]
			},{
				"allowed_amount": 90.43,
				"billing_code_modifier": ["26"],
				"providers":[{
					"billed_charge": 419.79,
					"npi": [1548580756,1811260169]
				}]
			},{
				"allowed_amount": 120.58,
				"billing_code_modifier": ["26"],
				"providers":[{
					"billed_charge": 559.72,
					"npi": [1548580756]
				}]
			},{
				"allowed_amount": 127.06,
				"providers":[{
					"billed_charge": 568.96,
					"npi": [1811260169]
				}]
			},{
				"allowed_amount": 150.72,
				"billing_code_modifier": ["26"],
				"providers":[{
					"billed_charge": 699.65,
					"npi": [1548580756]
				}]
			},{
				"allowed_amount": 190.58,
				"providers":[{
					"billed_charge": 853.44,
					"npi": [1811260169]
				}]
			},{
				"allowed_amount": 254.11,
				"providers":[{
					"billed_charge": 1137.92,
					"npi": [1548580756]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "951684089"
			},
			"service_code": ["22"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 114.57,
				"providers":[{
					"billed_charge": 763.77,
					"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": 76.38,
				"providers":[{
					"billed_charge": 509.18,
					"npi": [1841277704]
				}]
			},{
				"allowed_amount": 229.13,
				"providers":[{
					"billed_charge": 1527.54,
					"npi": [1841277704]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "951684089"
			},
			"service_code": ["22"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 38.19,
				"providers":[{
					"billed_charge": 254.59,
					"npi": [1659359446]
				}]
			},{
				"allowed_amount": 76.38,
				"providers":[{
					"billed_charge": 509.18,
					"npi": [1659359446]
				}]
			},{
				"allowed_amount": 190.94,
				"providers":[{
					"billed_charge": 1272.95,
					"npi": [1659359446]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "951691313"
			},
			"service_code": ["21", "22"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 60.29,
				"billing_code_modifier": ["26"],
				"providers":[{
					"billed_charge": 132.00,
					"npi": [1003202813]
				}]
			},{
				"allowed_amount": 61.42,
				"billing_code_modifier": ["26"],
				"providers":[{
					"billed_charge": 132.00,
					"npi": [1578790655]
				}]
			},{
				"allowed_amount": 429.93,
				"billing_code_modifier": ["26"],
				"providers":[{
					"billed_charge": 924.00,
					"npi": [1003202813,1326210527,1336210194]
				}]
			},{
				"allowed_amount": 491.35,
				"billing_code_modifier": ["26"],
				"providers":[{
					"billed_charge": 1056.00,
					"npi": [1336210194]
				}]
			},{
				"allowed_amount": 859.86,
				"billing_code_modifier": ["26"],
				"providers":[{
					"billed_charge": 1848.00,
					"npi": [1336210194]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "952589913"
			},
			"service_code": ["11", "21", "22"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"billing_code_modifier": ["26"],
				"providers":[{
					"billed_charge": 1100.00,
					"npi": [1790063030]
				},{
					"billed_charge": 220.00,
					"npi": [1790063030]
				},{
					"billed_charge": 440.00,
					"npi": [1447220124,1619947330]
				}]
			},{
				"allowed_amount": 1320.00,
				"billing_code_modifier": ["26"],
				"providers":[{
					"billed_charge": 1760.00,
					"npi": [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": [1023009834,1447220124,1619947330]
				}]
			},{
				"allowed_amount": 495.00,
				"billing_code_modifier": ["26"],
				"providers":[{
					"billed_charge": 660.00,
					"npi": [1447220124]
				}]
			},{
				"allowed_amount": 525.00,
				"providers":[{
					"billed_charge": 700.00,
					"npi": [1023009834]
				}]
			},{
				"allowed_amount": 660.00,
				"billing_code_modifier": ["26"],
				"providers":[{
					"billed_charge": 880.00,
					"npi": [1619947330]
				}]
			},{
				"allowed_amount": 825.00,
				"billing_code_modifier": ["26"],
				"providers":[{
					"billed_charge": 1100.00,
					"npi": [1023009834,1235491143]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "952659212"
			},
			"service_code": ["21"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 158.93,
				"billing_code_modifier": ["26"],
				"providers":[{
					"billed_charge": 330.00,
					"npi": [1841583390]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "954457756"
			},
			"service_code": ["11", "21"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 146.46,
				"providers":[{
					"billed_charge": 290.00,
					"npi": [1982848461]
				}]
			},{
				"allowed_amount": 0.00,
				"billing_code_modifier": ["26"],
				"providers":[{
					"billed_charge": 136.00,
					"npi": [1982848461]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "956003843"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 0.00,
				"billing_code_modifier": ["TC"],
				"providers":[{
					"billed_charge": 126.54,
					"npi": [1376513754]
				}]
			}]
		}]
	},{
		"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": "830565295"
			},
			"service_code": ["21"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"billing_code_modifier": ["26"],
				"providers":[{
					"billed_charge": 162.60,
					"npi": [1821129057]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "870737749"
			},
			"service_code": ["11", "22"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 28.13,
				"billing_code_modifier": ["26"],
				"providers":[{
					"billed_charge": 129.43,
					"npi": [1548580756,1811260169]
				}]
			},{
				"allowed_amount": 204.19,
				"providers":[{
					"billed_charge": 688.68,
					"npi": [1811260169]
				}]
			},{
				"allowed_amount": 102.10,
				"providers":[{
					"billed_charge": 344.34,
					"npi": [1811260169]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "951691313"
			},
			"service_code": ["22"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 57.31,
				"billing_code_modifier": ["26"],
				"providers":[{
					"billed_charge": 123.00,
					"npi": [1336210194]
				}]
			},{
				"allowed_amount": 114.62,
				"billing_code_modifier": ["26"],
				"providers":[{
					"billed_charge": 246.00,
					"npi": [1336210194]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "952589913"
			},
			"service_code": ["11", "22"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 243.75,
				"billing_code_modifier": ["XU"],
				"providers":[{
					"billed_charge": 325.00,
					"npi": [1619947330]
				}]
			},{
				"allowed_amount": 135.00,
				"billing_code_modifier": ["26"],
				"providers":[{
					"billed_charge": 180.00,
					"npi": [1235491143,1619947330]
				}]
			},{
				"allowed_amount": 135.00,
				"billing_code_modifier": ["26", "XU"],
				"providers":[{
					"billed_charge": 180.00,
					"npi": [1023009834]
				}]
			},{
				"allowed_amount": 270.00,
				"billing_code_modifier": ["26"],
				"providers":[{
					"billed_charge": 360.00,
					"npi": [1447220124]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "952659212"
			},
			"service_code": ["21"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 74.16,
				"billing_code_modifier": ["26"],
				"providers":[{
					"billed_charge": 154.00,
					"npi": [1841583390]
				}]
			}]
		}]
	},{
		"name": "PR DIALYSIS PROCEDURE",
		"billing_code_type": "CPT",
		"billing_code_type_version": "2026",
		"billing_code": "90999",
		"description": "Dialysis Procedure",
		"allowed_amounts":[{
			"tin": {
				"type": "ein",
				"value": "262681502"
			},
			"service_code": ["65"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 715.33,
				"billing_code_modifier": ["G3"],
				"providers":[{
					"billed_charge": 61824.00,
					"npi": [1801021399]
				}]
			},{
				"allowed_amount": 6000.00,
				"billing_code_modifier": ["G4"],
				"providers":[{
					"billed_charge": 141312.00,
					"npi": [1801021399]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "463621746"
			},
			"service_code": ["65"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 375.00,
				"billing_code_modifier": ["G3"],
				"providers":[{
					"billed_charge": 8832.00,
					"npi": [1467889360]
				}]
			},{
				"allowed_amount": 375.00,
				"billing_code_modifier": ["G4"],
				"providers":[{
					"billed_charge": 8832.00,
					"npi": [1467889360]
				}]
			},{
				"allowed_amount": 375.00,
				"billing_code_modifier": ["G5"],
				"providers":[{
					"billed_charge": 8832.00,
					"npi": [1467889360]
				}]
			}]
		}]
	},{
		"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": "274418547"
			},
			"service_code": ["10"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 66.92,
				"billing_code_modifier": ["GN", "95"],
				"providers":[{
					"billed_charge": 150.00,
					"npi": [1275021438]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "821821291"
			},
			"service_code": ["11", "02"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 66.92,
				"billing_code_modifier": ["GN"],
				"providers":[{
					"billed_charge": 120.00,
					"npi": [1679363535,1679959662,1710362363,1841742129]
				}]
			},{
				"allowed_amount": 0.00,
				"billing_code_modifier": ["GN"],
				"providers":[{
					"billed_charge": 120.00,
					"npi": [1710362363]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "830523882"
			},
			"service_code": ["10", "12", "02"],
			"billing_class": "professional",
			"payments":[{
				"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]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "842578440"
			},
			"service_code": ["10", "02"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 75.29,
				"billing_code_modifier": ["95"],
				"providers":[{
					"billed_charge": 100.00,
					"npi": [1215794854]
				}]
			},{
				"allowed_amount": 75.29,
				"providers":[{
					"billed_charge": 100.00,
					"npi": [1215794854]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "842681603"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 75.29,
				"billing_code_modifier": ["GN"],
				"providers":[{
					"billed_charge": 150.00,
					"npi": [1033907100,1457060618]
				}]
			}]
		}]
	},{
		"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": "233059262"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 165.98,
				"providers":[{
					"billed_charge": 1189.00,
					"npi": [1245221050]
				}]
			}]
		},{
			"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": "432035443"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 165.98,
				"providers":[{
					"billed_charge": 1781.00,
					"npi": [1457347239]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "461246570"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 165.98,
				"providers":[{
					"billed_charge": 1011.00,
					"npi": [1679816201]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "720423659"
			},
			"service_code": ["22"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 71.63,
				"providers":[{
					"billed_charge": 572.00,
					"npi": [1821098286]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "870737749"
			},
			"service_code": ["11", "20"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 8.17,
				"providers":[{
					"billed_charge": 42.03,
					"npi": [1174037451]
				}]
			},{
				"allowed_amount": 0.00,
				"billing_code_modifier": ["76"],
				"providers":[{
					"billed_charge": 42.03,
					"npi": [1558361907]
				}]
			},{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 42.03,
					"npi": [1154388601,1477991859,1548276173,1558361907,1770567182,1902887227]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "950651579"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 752.25,
				"providers":[{
					"billed_charge": 885.00,
					"npi": [1154304475]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "951643360"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 164.35,
				"providers":[{
					"billed_charge": 601.00,
					"npi": [1992752315]
				}]
			},{
				"allowed_amount": 328.71,
				"providers":[{
					"billed_charge": 1202.00,
					"npi": [1992752315]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "951684089"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 207.21,
				"providers":[{
					"billed_charge": 414.41,
					"npi": [1841277704]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "951684089"
			},
			"service_code": ["22"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 62.16,
				"providers":[{
					"billed_charge": 414.41,
					"npi": [1659359446]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "951750445"
			},
			"service_code": ["20"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 15.07,
				"providers":[{
					"billed_charge": 33.00,
					"npi": [1225060742]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "951934652"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 0.00,
				"billing_code_modifier": ["XE"],
				"providers":[{
					"billed_charge": 595.00,
					"npi": [1043215379]
				}]
			}]
		},{
			"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,
				"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": ["59"],
				"providers":[{
					"billed_charge": 401.24,
					"npi": [1376513754,1457321317]
				}]
			},{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 401.24,
					"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": 15.89,
				"providers":[{
					"billed_charge": 58.00,
					"npi": [1669403911]
				}]
			},{
				"allowed_amount": 16.05,
				"providers":[{
					"billed_charge": 58.00,
					"npi": [1174865349,1326076290,1326138892,1356091383,1366903486,1538780127,1669403911,1710916283,1962430231]
				}]
			},{
				"allowed_amount": 16.27,
				"billing_code_modifier": ["76"],
				"providers":[{
					"billed_charge": 58.00,
					"npi": [1366903486]
				}]
			},{
				"allowed_amount": 16.27,
				"billing_code_modifier": ["59"],
				"providers":[{
					"billed_charge": 58.00,
					"npi": [1174865349]
				}]
			},{
				"allowed_amount": 16.27,
				"providers":[{
					"billed_charge": 58.00,
					"npi": [1174865349,1326076290,1326138892,1356091383,1366903486,1376571505,1538780127,1669714523,1801425244,1881622702,1932100062,1962439505,1972531838]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "202693042"
			},
			"service_code": ["21", "22"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 8.83,
				"billing_code_modifier": ["76"],
				"providers":[{
					"billed_charge": 28.00,
					"npi": [1972517910]
				}]
			},{
				"allowed_amount": 8.83,
				"providers":[{
					"billed_charge": 28.00,
					"npi": [1245326883,1366720211,1467429191,1609300045,1790084143,1962418889,1972517910]
				}]
			},{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 28.00,
					"npi": [1437543733]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "237064656"
			},
			"service_code": ["21", "22"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 1.77,
				"providers":[{
					"billed_charge": 35.00,
					"npi": [1699063701]
				}]
			},{
				"allowed_amount": 9.71,
				"providers":[{
					"billed_charge": 35.00,
					"npi": [1346470408,1891958773,1952535114]
				}]
			},{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 35.00,
					"npi": [1699063701]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "264676053"
			},
			"service_code": ["23"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 15.69,
				"providers":[{
					"billed_charge": 40.00,
					"npi": [1073548962]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "320595156"
			},
			"service_code": ["23"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 10.60,
				"billing_code_modifier": ["76"],
				"providers":[{
					"billed_charge": 27.00,
					"npi": [1265402648]
				}]
			},{
				"allowed_amount": 10.60,
				"providers":[{
					"billed_charge": 27.00,
					"npi": [1083293443,1265402648,1609175173,1669424149,1770254195]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "330185031"
			},
			"service_code": ["23"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 15.89,
				"providers":[{
					"billed_charge": 32.00,
					"npi": [1083841720]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "330669356"
			},
			"service_code": ["21", "22"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 36.00,
					"npi": [1790753770]
				}]
			},{
				"allowed_amount": 10.60,
				"billing_code_modifier": ["76"],
				"providers":[{
					"billed_charge": 36.00,
					"npi": [1952308124]
				}]
			},{
				"allowed_amount": 10.60,
				"providers":[{
					"billed_charge": 36.00,
					"npi": [1104861459,1154399632,1285694349,1346251451,1376511188,1497841795,1790753770,1952308124]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "453023491"
			},
			"service_code": ["23"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 15.89,
				"providers":[{
					"billed_charge": 125.00,
					"npi": [1285651265]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "462690851"
			},
			"service_code": ["23"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 15.89,
				"providers":[{
					"billed_charge": 60.00,
					"npi": [1174835359]
				}]
			},{
				"allowed_amount": 16.05,
				"billing_code_modifier": ["59"],
				"providers":[{
					"billed_charge": 60.00,
					"npi": [1265460893,1306932330]
				}]
			},{
				"allowed_amount": 16.05,
				"providers":[{
					"billed_charge": 60.00,
					"npi": [1043259310,1073581914,1164614012,1174835359,1265460893,1316039977,1326072984,1679927859,1689834012,1942230297,1952668931]
				}]
			},{
				"allowed_amount": 16.27,
				"billing_code_modifier": ["59"],
				"providers":[{
					"billed_charge": 60.00,
					"npi": [1174835359]
				}]
			},{
				"allowed_amount": 16.27,
				"providers":[{
					"billed_charge": 60.00,
					"npi": [1073581914,1114196862,1164614012,1174835359,1265460893,1306932330,1326276072,1609829142,1679927859,1689834012,1700870912,1770534067,1942230297,1952668931]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "463490058"
			},
			"service_code": ["23"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 15.91,
				"billing_code_modifier": ["59"],
				"providers":[{
					"billed_charge": 82.62,
					"npi": [1447838156]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "473996809"
			},
			"service_code": ["23"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 16.41,
				"billing_code_modifier": ["77"],
				"providers":[{
					"billed_charge": 200.00,
					"npi": [1063416410]
				}]
			},{
				"allowed_amount": 16.41,
				"billing_code_modifier": ["77", "59"],
				"providers":[{
					"billed_charge": 200.00,
					"npi": [1063416410]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "474096798"
			},
			"service_code": ["23"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 16.27,
				"providers":[{
					"billed_charge": 60.00,
					"npi": [1922216795]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "721269878"
			},
			"service_code": ["22"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 35.00,
					"npi": [1407939259]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "800212487"
			},
			"service_code": ["23"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 16.41,
				"billing_code_modifier": ["76"],
				"providers":[{
					"billed_charge": 72.89,
					"npi": [1134355597]
				}]
			},{
				"allowed_amount": 16.41,
				"providers":[{
					"billed_charge": 72.89,
					"npi": [1134355597]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "811641281"
			},
			"service_code": ["23"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 15.89,
				"providers":[{
					"billed_charge": 66.00,
					"npi": [1326087925]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "870737749"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"billing_code_modifier": ["76"],
				"providers":[{
					"billed_charge": 30.52,
					"npi": [1326466707]
				}]
			},{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 30.52,
					"npi": [1043233786,1164745725,1326003823,1326466707,1386746931,1700084464,1841453081]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "871451688"
			},
			"service_code": ["23"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 16.05,
				"billing_code_modifier": ["59"],
				"providers":[{
					"billed_charge": 93.61,
					"npi": [1225322290]
				}]
			},{
				"allowed_amount": 16.27,
				"providers":[{
					"billed_charge": 93.61,
					"npi": [1780207449]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "900950252"
			},
			"service_code": ["23"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 16.05,
				"billing_code_modifier": ["76"],
				"providers":[{
					"billed_charge": 51.00,
					"npi": [1861947012]
				}]
			},{
				"allowed_amount": 16.05,
				"providers":[{
					"billed_charge": 51.00,
					"npi": [1295174761,1376833038,1619293495,1760828958,1811436413,1861947012,1952454449]
				}]
			},{
				"allowed_amount": 16.27,
				"billing_code_modifier": ["GC"],
				"providers":[{
					"billed_charge": 51.00,
					"npi": [1619293495]
				}]
			},{
				"allowed_amount": 16.27,
				"billing_code_modifier": ["XS"],
				"providers":[{
					"billed_charge": 51.00,
					"npi": [1326371055]
				}]
			},{
				"allowed_amount": 16.27,
				"providers":[{
					"billed_charge": 51.00,
					"npi": [1073965059,1275572372,1295174761,1326252156,1376757732,1619293495,1750312351,1770578411,1952454449]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "921846432"
			},
			"service_code": ["23"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 16.05,
				"providers":[{
					"billed_charge": 57.00,
					"npi": [1851928386,1881893519]
				}]
			},{
				"allowed_amount": 16.27,
				"providers":[{
					"billed_charge": 57.00,
					"npi": [1467087510]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "942494000"
			},
			"service_code": ["23"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 16.05,
				"providers":[{
					"billed_charge": 71.00,
					"npi": [1770595910]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "951644042"
			},
			"service_code": ["23"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 16.41,
				"providers":[{
					"billed_charge": 17.00,
					"npi": [1992071211]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "951691313"
			},
			"service_code": ["11", "23"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 14.13,
				"providers":[{
					"billed_charge": 29.00,
					"npi": [1831423250]
				}]
			},{
				"allowed_amount": 14.39,
				"providers":[{
					"billed_charge": 29.00,
					"npi": [1114277787,1265797591,1356514624,1518036821,1538279484,1831423250]
				}]
			},{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 29.00,
					"npi": [1538279484]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "951750445"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 38.00,
					"npi": [1225060742]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "953942828"
			},
			"service_code": ["23"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 16.41,
				"providers":[{
					"billed_charge": 65.00,
					"npi": [1588829006]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "990970557"
			},
			"service_code": ["23"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 15.91,
				"providers":[{
					"billed_charge": 64.00,
					"npi": [1528444023]
				}]
			}]
		}]
	},{
		"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": 13.21,
				"providers":[{
					"billed_charge": 48.00,
					"npi": [1326138892]
				}]
			},{
				"allowed_amount": 13.35,
				"billing_code_modifier": ["59"],
				"providers":[{
					"billed_charge": 48.00,
					"npi": [1538780127]
				}]
			},{
				"allowed_amount": 13.35,
				"providers":[{
					"billed_charge": 48.00,
					"npi": [1033372453,1881622702]
				}]
			},{
				"allowed_amount": 13.53,
				"billing_code_modifier": ["59"],
				"providers":[{
					"billed_charge": 48.00,
					"npi": [1174865349]
				}]
			},{
				"allowed_amount": 13.53,
				"providers":[{
					"billed_charge": 48.00,
					"npi": [1326076290,1356091383,1366903486,1538780127,1932100062,1972531838]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "462690851"
			},
			"service_code": ["23"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 13.35,
				"billing_code_modifier": ["59"],
				"providers":[{
					"billed_charge": 49.00,
					"npi": [1700870912]
				}]
			},{
				"allowed_amount": 13.35,
				"providers":[{
					"billed_charge": 49.00,
					"npi": [1093749665,1184244014,1265460893,1316039977,1326276072,1366486243,1679927859,1689834012,1770534067,1942230297]
				}]
			},{
				"allowed_amount": 13.53,
				"billing_code_modifier": ["76"],
				"providers":[{
					"billed_charge": 49.00,
					"npi": [1700870912]
				}]
			},{
				"allowed_amount": 13.53,
				"billing_code_modifier": ["59"],
				"providers":[{
					"billed_charge": 49.00,
					"npi": [1316039977]
				}]
			},{
				"allowed_amount": 13.53,
				"providers":[{
					"billed_charge": 49.00,
					"npi": [1174835359,1184244014,1265460893,1306932330,1316039977,1326072984,1609829142,1689834012,1700870912,1730356460,1770534067,1942230297]
				}]
			},{
				"allowed_amount": 26.69,
				"billing_code_modifier": ["59", "76"],
				"providers":[{
					"billed_charge": 98.00,
					"npi": [1700870912]
				}]
			},{
				"allowed_amount": 27.07,
				"billing_code_modifier": ["76"],
				"providers":[{
					"billed_charge": 98.00,
					"npi": [1700870912]
				}]
			},{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 49.00,
					"npi": [1265460893]
				}]
			},{
				"allowed_amount": 49.00,
				"providers":[{
					"billed_charge": 49.00,
					"npi": [1306932330]
				}]
			}]
		}]
	},{
		"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": ["22"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 3.97,
				"billing_code_modifier": ["26"],
				"providers":[{
					"billed_charge": 95.00,
					"npi": [1346470408,1952535114]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "821953999"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 34.96,
				"providers":[{
					"billed_charge": 123.00,
					"npi": [1306074893]
				}]
			},{
				"allowed_amount": 50.87,
				"billing_code_modifier": ["59"],
				"providers":[{
					"billed_charge": 123.00,
					"npi": [1306074893]
				}]
			},{
				"allowed_amount": 50.87,
				"providers":[{
					"billed_charge": 123.00,
					"npi": [1306074893]
				}]
			},{
				"allowed_amount": 51.58,
				"billing_code_modifier": ["59"],
				"providers":[{
					"billed_charge": 123.00,
					"npi": [1306074893]
				}]
			},{
				"allowed_amount": 51.58,
				"providers":[{
					"billed_charge": 123.00,
					"npi": [1306074893]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "870737749"
			},
			"service_code": ["22"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"billing_code_modifier": ["26"],
				"providers":[{
					"billed_charge": 11.59,
					"npi": [1942480199]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "951691313"
			},
			"service_code": ["11", "21"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 5.88,
				"billing_code_modifier": ["26"],
				"providers":[{
					"billed_charge": 11.00,
					"npi": [1487821815,1780642280]
				}]
			},{
				"allowed_amount": 45.59,
				"providers":[{
					"billed_charge": 91.00,
					"npi": [1962974956]
				}]
			}]
		}]
	},{
		"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": "203395567"
			},
			"service_code": ["21"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 25.00,
				"billing_code_modifier": ["26"],
				"providers":[{
					"billed_charge": 25.00,
					"npi": [1053272989]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "233059262"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 183.69,
				"providers":[{
					"billed_charge": 1018.00,
					"npi": [1245221050]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "237064656"
			},
			"service_code": ["21"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 1.75,
				"billing_code_modifier": ["26"],
				"providers":[{
					"billed_charge": 40.00,
					"npi": [1285130906,1720540743]
				}]
			},{
				"allowed_amount": 0.00,
				"billing_code_modifier": ["26"],
				"providers":[{
					"billed_charge": 40.00,
					"npi": [1518306851]
				}]
			},{
				"allowed_amount": 0.00,
				"billing_code_modifier": ["26", "77"],
				"providers":[{
					"billed_charge": 40.00,
					"npi": [1518306851]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "320595156"
			},
			"service_code": ["23"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 10.52,
				"billing_code_modifier": ["26"],
				"providers":[{
					"billed_charge": 30.00,
					"npi": [1265402648]
				}]
			}]
		},{
			"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": "330528802"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 181.89,
				"providers":[{
					"billed_charge": 1295.00,
					"npi": [1699868398]
				}]
			},{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 1295.00,
					"npi": [1699868398]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "432035443"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 183.69,
				"providers":[{
					"billed_charge": 987.00,
					"npi": [1457347239]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "461246570"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 183.69,
				"providers":[{
					"billed_charge": 988.00,
					"npi": [1679816201]
				}]
			},{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 988.00,
					"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": "463490058"
			},
			"service_code": ["23"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 15.23,
				"billing_code_modifier": ["26"],
				"providers":[{
					"billed_charge": 55.08,
					"npi": [1902487440]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "473394746"
			},
			"service_code": ["23"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 8.77,
				"billing_code_modifier": ["26"],
				"providers":[{
					"billed_charge": 28.00,
					"npi": [1396249009]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "810790569"
			},
			"service_code": ["23"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 15.52,
				"billing_code_modifier": ["26"],
				"providers":[{
					"billed_charge": 248.00,
					"npi": [1891974283]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "870737749"
			},
			"service_code": ["23"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 8.77,
				"billing_code_modifier": ["26"],
				"providers":[{
					"billed_charge": 47.40,
					"npi": [1316204332,1811948755]
				}]
			}]
		},{
			"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": [1275572372,1376757732,1770578411]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "934163254"
			},
			"service_code": ["23"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 8.77,
				"billing_code_modifier": ["26"],
				"providers":[{
					"billed_charge": 25.80,
					"npi": [1568634509]
				}]
			},{
				"allowed_amount": 15.23,
				"billing_code_modifier": ["26"],
				"providers":[{
					"billed_charge": 25.80,
					"npi": [1467225235,1730535352,1972579829]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "942494000"
			},
			"service_code": ["23"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 15.52,
				"billing_code_modifier": ["26"],
				"providers":[{
					"billed_charge": 78.00,
					"npi": [1750900635]
				}]
			},{
				"allowed_amount": 15.75,
				"billing_code_modifier": ["26"],
				"providers":[{
					"billed_charge": 78.00,
					"npi": [1750900635]
				}]
			},{
				"allowed_amount": 0.00,
				"billing_code_modifier": ["26"],
				"providers":[{
					"billed_charge": 78.00,
					"npi": [1750900635]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "951643327"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 181.89,
				"providers":[{
					"billed_charge": 889.44,
					"npi": [1518951300]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "951643360"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 181.89,
				"providers":[{
					"billed_charge": 744.00,
					"npi": [1992752315]
				}]
			}]
		},{
			"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": "952586432"
			},
			"service_code": ["22", "23"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 15.45,
				"billing_code_modifier": ["26"],
				"providers":[{
					"billed_charge": 39.00,
					"npi": [1285929067]
				}]
			},{
				"allowed_amount": 0.00,
				"billing_code_modifier": ["26"],
				"providers":[{
					"billed_charge": 39.00,
					"npi": [1285929067]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "952592769"
			},
			"service_code": ["23"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 15.67,
				"billing_code_modifier": ["26"],
				"providers":[{
					"billed_charge": 108.00,
					"npi": [1316975816]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "952628283"
			},
			"service_code": ["23"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 8.77,
				"billing_code_modifier": ["26"],
				"providers":[{
					"billed_charge": 20.00,
					"npi": [1295129583]
				}]
			},{
				"allowed_amount": 15.67,
				"billing_code_modifier": ["26"],
				"providers":[{
					"billed_charge": 20.00,
					"npi": [1376591925,1649263906]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "952669833"
			},
			"service_code": ["22", "23"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 18.85,
				"billing_code_modifier": ["26"],
				"providers":[{
					"billed_charge": 29.00,
					"npi": [1346482809,1407808454,1558335695,1568572832,1588045686,1730575754]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "953782169"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 670.00,
					"npi": [1407839921]
				}]
			},{
				"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": 178.19,
				"providers":[{
					"billed_charge": 458.56,
					"npi": [1376513754]
				}]
			}]
		}]
	},{
		"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": "320595156"
			},
			"service_code": ["23"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 12.72,
				"billing_code_modifier": ["26"],
				"providers":[{
					"billed_charge": 36.00,
					"npi": [1083293443,1306982319]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "330449527"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 663.85,
				"providers":[{
					"billed_charge": 781.00,
					"npi": [1528041811]
				}]
			}]
		},{
			"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": "562393860"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 120.00,
					"npi": [1932173085]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "660434472"
			},
			"service_code": ["23"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 10.60,
				"billing_code_modifier": ["26"],
				"providers":[{
					"billed_charge": 70.00,
					"npi": [1730671991]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "660573658"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 68.31,
				"providers":[{
					"billed_charge": 327.00,
					"npi": [1487699047]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "870737748"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 27.35,
				"billing_code_modifier": ["TC"],
				"providers":[{
					"billed_charge": 137.55,
					"npi": [1548468598,1679502884]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "951750445"
			},
			"service_code": ["11", "22"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"billing_code_modifier": ["26"],
				"providers":[{
					"billed_charge": 49.00,
					"npi": [1306370150]
				}]
			},{
				"allowed_amount": 0.00,
				"billing_code_modifier": ["TC"],
				"providers":[{
					"billed_charge": 124.00,
					"npi": [1841348828]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "952669833"
			},
			"service_code": ["21", "23"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 22.75,
				"billing_code_modifier": ["26"],
				"providers":[{
					"billed_charge": 35.00,
					"npi": [1346482809]
				}]
			},{
				"allowed_amount": 0.00,
				"billing_code_modifier": ["26"],
				"providers":[{
					"billed_charge": 35.00,
					"npi": [1366480634]
				}]
			}]
		}]
	},{
		"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": "261911128"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"billing_code_modifier": ["GP"],
				"providers":[{
					"billed_charge": 53.00,
					"npi": [1659722320]
				}]
			}]
		},{
			"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": 5.95,
				"billing_code_modifier": ["GP"],
				"providers":[{
					"billed_charge": 30.00,
					"npi": [1073312492]
				}]
			},{
				"allowed_amount": 0.00,
				"billing_code_modifier": ["GP"],
				"providers":[{
					"billed_charge": 30.00,
					"npi": [1073312492,1265481139,1336894724,1760194302,1902505910]
				}]
			}]
		},{
			"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": [1396320487,1467059634,1679921084]
				}]
			}]
		},{
			"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": [1053958660,1417755372]
				}]
			},{
				"allowed_amount": 0.00,
				"billing_code_modifier": ["GP"],
				"providers":[{
					"billed_charge": 17.00,
					"npi": [1073161261,1164179362,1295234433,1356102354,1366019010,1366195042,1497357008,1548574379,1659180636,1669645081,1770151672,1912551433,1932821162,1982237772]
				}]
			},{
				"allowed_amount": 0.00,
				"billing_code_modifier": ["GP", "CQ"],
				"providers":[{
					"billed_charge": 17.00,
					"npi": [1164179362,1295234433,1356102354,1366195042,1497357008,1538868112,1659180636,1669645081,1770151672,1912551433,1932821162]
				}]
			}]
		}]
	},{
		"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": 19.46,
				"billing_code_modifier": ["GP"],
				"providers":[{
					"billed_charge": 19.46,
					"npi": [1063026243]
				}]
			},{
				"allowed_amount": 0.00,
				"billing_code_modifier": ["GP"],
				"providers":[{
					"billed_charge": 19.46,
					"npi": [1063026243,1073329504,1083662456,1093564684,1154330496,1194350744,1265557334,1740375062,1932713823]
				}]
			},{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 19.46,
					"npi": [1063026243]
				}]
			}]
		},{
			"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": [1396560199,1710606009]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "330142586"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"billing_code_modifier": ["GP"],
				"providers":[{
					"billed_charge": 28.00,
					"npi": [1043930183,1376091561]
				}]
			}]
		},{
			"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": [1164179362,1295234433,1366195042,1497357008,1659180636,1770151672,1790516953,1912551433,1982237772]
				}]
			},{
				"allowed_amount": 0.00,
				"billing_code_modifier": ["GP", "CQ"],
				"providers":[{
					"billed_charge": 36.00,
					"npi": [1164179362,1295234433,1366195042,1497357008,1538868112,1659180636,1770151672,1790516953,1912551433]
				}]
			},{
				"allowed_amount": 30.00,
				"billing_code_modifier": ["GP"],
				"providers":[{
					"billed_charge": 36.00,
					"npi": [1497357008]
				}]
			}]
		}]
	},{
		"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": "205067091"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"billing_code_modifier": ["GP"],
				"providers":[{
					"billed_charge": 46.32,
					"npi": [1063026243,1073329504,1083662456,1093564684,1154330496,1194350744,1265557334,1740375062,1932713823]
				},{
					"billed_charge": 92.64,
					"npi": [1083662456,1093564684]
				}]
			},{
				"allowed_amount": 30.00,
				"billing_code_modifier": ["GP"],
				"providers":[{
					"billed_charge": 92.64,
					"npi": [1063026243,1083662456,1093564684]
				}]
			}]
		},{
			"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": [1194827816,1700988433]
				}]
			}]
		},{
			"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": [1912684325,1962274902]
				},{
					"billed_charge": 89.00,
					"npi": [1245341957,1396560199,1588484042,1669249769,1710606009,1750559431,1891486619]
				}]
			},{
				"allowed_amount": 30.00,
				"billing_code_modifier": ["GP"],
				"providers":[{
					"billed_charge": 178.00,
					"npi": [1750559431]
				},{
					"billed_charge": 267.00,
					"npi": [1750559431]
				}]
			},{
				"allowed_amount": 85.00,
				"billing_code_modifier": ["59", "GP"],
				"providers":[{
					"billed_charge": 178.00,
					"npi": [1750559431]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "262193316"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 32.04,
				"billing_code_modifier": ["GP"],
				"providers":[{
					"billed_charge": 60.00,
					"npi": [1477432284,1609916873]
				}]
			},{
				"allowed_amount": 32.04,
				"providers":[{
					"billed_charge": 60.00,
					"npi": [1477432284,1609916873]
				}]
			},{
				"allowed_amount": 32.04,
				"billing_code_modifier": ["GP", "59"],
				"providers":[{
					"billed_charge": 60.00,
					"npi": [1780154237]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "330142586"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 25.63,
				"billing_code_modifier": ["GP"],
				"providers":[{
					"billed_charge": 45.00,
					"npi": [1043930183]
				}]
			},{
				"allowed_amount": 51.26,
				"billing_code_modifier": ["GP"],
				"providers":[{
					"billed_charge": 90.00,
					"npi": [1043930183,1376091561]
				}]
			},{
				"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": 170.00,
					"npi": [1396529244]
				},{
					"billed_charge": 85.00,
					"npi": [1396529244]
				}]
			},{
				"allowed_amount": 30.00,
				"billing_code_modifier": ["GP"],
				"providers":[{
					"billed_charge": 170.00,
					"npi": [1396529244]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "330493339"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 30.00,
				"billing_code_modifier": ["GP"],
				"providers":[{
					"billed_charge": 110.00,
					"npi": [1932671526]
				},{
					"billed_charge": 55.00,
					"npi": [1558070599]
				}]
			},{
				"allowed_amount": 30.00,
				"providers":[{
					"billed_charge": 110.00,
					"npi": [1932671526]
				},{
					"billed_charge": 55.00,
					"npi": [1366997702]
				},{
					"billed_charge": 65.00,
					"npi": [1932671526]
				},{
					"billed_charge": 80.00,
					"npi": [1366997702]
				},{
					"billed_charge": 85.00,
					"npi": [1366997702,1558070599,1932671526]
				}]
			},{
				"allowed_amount": 85.00,
				"billing_code_modifier": ["GP"],
				"providers":[{
					"billed_charge": 55.00,
					"npi": [1558070599]
				}]
			},{
				"allowed_amount": 85.00,
				"providers":[{
					"billed_charge": 85.00,
					"npi": [1558070599]
				}]
			}]
		},{
			"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": 105.73,
				"billing_code_modifier": ["GP"],
				"providers":[{
					"billed_charge": 135.00,
					"npi": [1871597286]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "455215138"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 32.04,
				"billing_code_modifier": ["GO"],
				"providers":[{
					"billed_charge": 79.28,
					"npi": [1114282779,1447927249]
				}]
			},{
				"allowed_amount": 32.04,
				"billing_code_modifier": ["GP"],
				"providers":[{
					"billed_charge": 79.28,
					"npi": [1114282779]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "455334364"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"providers":[{
					"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": 28.84,
				"billing_code_modifier": ["GP"],
				"providers":[{
					"billed_charge": 60.00,
					"npi": [1285248906,1780815852]
				}]
			},{
				"allowed_amount": 57.67,
				"billing_code_modifier": ["GP"],
				"providers":[{
					"billed_charge": 120.00,
					"npi": [1285248906]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "464813023"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 115.34,
				"providers":[{
					"billed_charge": 200.00,
					"npi": [1366226474]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "475556456"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"billing_code_modifier": ["GP"],
				"providers":[{
					"billed_charge": 100.00,
					"npi": [1124886288,1245118637,1558231415,1598284200,1609681329]
				},{
					"billed_charge": 200.00,
					"npi": [1124886288]
				}]
			},{
				"allowed_amount": 30.00,
				"billing_code_modifier": ["GP"],
				"providers":[{
					"billed_charge": 100.00,
					"npi": [1124886288,1245118637]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "813597392"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 25.63,
				"billing_code_modifier": ["GP"],
				"providers":[{
					"billed_charge": 50.00,
					"npi": [1063046878,1073312492,1265481139,1336894724,1760194302,1902505910]
				}]
			},{
				"allowed_amount": 51.26,
				"billing_code_modifier": ["GP"],
				"providers":[{
					"billed_charge": 100.00,
					"npi": [1760194302,1902505910]
				}]
			},{
				"allowed_amount": 0.00,
				"billing_code_modifier": ["GP"],
				"providers":[{
					"billed_charge": 50.00,
					"npi": [1760194302,1902505910]
				}]
			}]
		},{
			"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": [1669148052]
				},{
					"billed_charge": 70.00,
					"npi": [1174685549,1306412283,1437868106,1669148052,1982812111]
				}]
			},{
				"allowed_amount": 115.00,
				"billing_code_modifier": ["GP"],
				"providers":[{
					"billed_charge": 140.00,
					"npi": [1669148052]
				},{
					"billed_charge": 70.00,
					"npi": [1669148052]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "825387674"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 25.63,
				"billing_code_modifier": ["GP"],
				"providers":[{
					"billed_charge": 80.00,
					"npi": [1205557071,1295361921,1396320487,1467059634,1679921084,1689039349,1861140337]
				}]
			},{
				"allowed_amount": 51.26,
				"billing_code_modifier": ["GP"],
				"providers":[{
					"billed_charge": 160.00,
					"npi": [1467059634,1861140337]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "951684089"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 86.40,
				"billing_code_modifier": ["GP"],
				"providers":[{
					"billed_charge": 172.80,
					"npi": [1841277704]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "953579976"
			},
			"service_code": ["11", "21"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"billing_code_modifier": ["GO"],
				"providers":[{
					"billed_charge": 80.00,
					"npi": [1053958660,1417755372]
				},{
					"billed_charge": 95.00,
					"npi": [1417755372]
				}]
			},{
				"allowed_amount": 0.00,
				"billing_code_modifier": ["GP"],
				"providers":[{
					"billed_charge": 160.00,
					"npi": [1295234433,1356102354,1366019010,1669645081,1932821162]
				},{
					"billed_charge": 190.00,
					"npi": [1356102354,1669645081,1932821162]
				},{
					"billed_charge": 80.00,
					"npi": [1073161261,1104657444,1164179362,1194326413,1295234433,1356102354,1366019010,1386692622,1497357008,1548574379,1659180636,1669645081,1700151529,1790516953,1912551433,1932821162]
				},{
					"billed_charge": 95.00,
					"npi": [1053568196,1073161261,1104657444,1164179362,1295234433,1366019010,1366195042,1386692622,1497357008,1538868112,1548574379,1669645081,1700151529,1912551433,1932821162]
				}]
			},{
				"allowed_amount": 0.00,
				"billing_code_modifier": ["GP", "CQ"],
				"providers":[{
					"billed_charge": 160.00,
					"npi": [1366019010]
				},{
					"billed_charge": 80.00,
					"npi": [1104657444,1164179362,1174241087,1295234433,1366019010,1366195042,1386888667,1497357008,1538868112,1639622442,1669645081,1790516953,1932821162]
				},{
					"billed_charge": 95.00,
					"npi": [1174241087,1295234433,1366019010,1366195042,1538868112,1669645081,1790516953,1932821162]
				}]
			},{
				"allowed_amount": 250.00,
				"billing_code_modifier": ["GP"],
				"providers":[{
					"billed_charge": 80.00,
					"npi": [1912551433]
				}]
			},{
				"allowed_amount": 30.00,
				"billing_code_modifier": ["GP"],
				"providers":[{
					"billed_charge": 160.00,
					"npi": [1366019010]
				}]
			},{
				"allowed_amount": 30.00,
				"billing_code_modifier": ["GP", "CQ"],
				"providers":[{
					"billed_charge": 160.00,
					"npi": [1295234433]
				},{
					"billed_charge": 95.00,
					"npi": [1366195042]
				}]
			},{
				"allowed_amount": 80.00,
				"billing_code_modifier": ["GO"],
				"providers":[{
					"billed_charge": 160.00,
					"npi": [1417755372]
				}]
			},{
				"allowed_amount": 80.00,
				"billing_code_modifier": ["GP"],
				"providers":[{
					"billed_charge": 190.00,
					"npi": [1104657444]
				}]
			}]
		}]
	},{
		"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": "205067091"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"billing_code_modifier": ["GP"],
				"providers":[{
					"billed_charge": 48.91,
					"npi": [1063026243,1073329504,1083662456,1093564684,1144798281,1154330496,1194350744,1265557334,1740375062,1932713823]
				},{
					"billed_charge": 97.82,
					"npi": [1063026243,1073329504,1083662456,1093564684]
				}]
			},{
				"allowed_amount": 30.00,
				"billing_code_modifier": ["GP"],
				"providers":[{
					"billed_charge": 97.82,
					"npi": [1073329504,1083662456,1093564684,1265557334]
				}]
			}]
		},{
			"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": [1194827816,1700988433]
				}]
			}]
		},{
			"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": [1669249769]
				},{
					"billed_charge": 82.00,
					"npi": [1245341957,1396560199,1588484042,1659722320,1669249769,1710606009,1750559431,1891486619,1912684325,1962274902]
				}]
			},{
				"allowed_amount": 0.00,
				"billing_code_modifier": ["59", "GP"],
				"providers":[{
					"billed_charge": 82.00,
					"npi": [1750559431,1962274902]
				}]
			},{
				"allowed_amount": 30.00,
				"billing_code_modifier": ["GP"],
				"providers":[{
					"billed_charge": 164.00,
					"npi": [1669249769,1891486619]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "262193316"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 36.16,
				"billing_code_modifier": ["GO"],
				"providers":[{
					"billed_charge": 60.00,
					"npi": [1669792982]
				}]
			},{
				"allowed_amount": 36.16,
				"billing_code_modifier": ["GP"],
				"providers":[{
					"billed_charge": 60.00,
					"npi": [1477432284]
				}]
			},{
				"allowed_amount": 36.16,
				"providers":[{
					"billed_charge": 60.00,
					"npi": [1477432284]
				}]
			},{
				"allowed_amount": 36.16,
				"billing_code_modifier": ["GO", "59"],
				"providers":[{
					"billed_charge": 60.00,
					"npi": [1669792982]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "330142586"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 28.93,
				"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", "59"],
				"providers":[{
					"billed_charge": 92.00,
					"npi": [1396529244]
				}]
			},{
				"allowed_amount": 30.00,
				"billing_code_modifier": ["GP", "59"],
				"providers":[{
					"billed_charge": 184.00,
					"npi": [1376127795,1396529244]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "330905392"
			},
			"service_code": ["62"],
			"billing_class": "professional",
			"payments":[{
				"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": 32.54,
				"billing_code_modifier": ["GP"],
				"providers":[{
					"billed_charge": 65.00,
					"npi": [1285248906,1780815852]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "475556456"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"billing_code_modifier": ["GP"],
				"providers":[{
					"billed_charge": 100.00,
					"npi": [1124886288,1245118637,1558231415,1598284200,1609681329]
				},{
					"billed_charge": 200.00,
					"npi": [1124886288]
				}]
			},{
				"allowed_amount": 30.00,
				"billing_code_modifier": ["GP"],
				"providers":[{
					"billed_charge": 100.00,
					"npi": [1124886288,1598284200,1609681329]
				},{
					"billed_charge": 200.00,
					"npi": [1124886288]
				}]
			},{
				"allowed_amount": 85.00,
				"billing_code_modifier": ["GP"],
				"providers":[{
					"billed_charge": 100.00,
					"npi": [1558231415]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "813597392"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 28.93,
				"billing_code_modifier": ["GP"],
				"providers":[{
					"billed_charge": 50.00,
					"npi": [1063046878,1073312492,1265481139,1760194302]
				}]
			},{
				"allowed_amount": 0.00,
				"billing_code_modifier": ["GP"],
				"providers":[{
					"billed_charge": 50.00,
					"npi": [1902505910]
				}]
			}]
		},{
			"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": [1174685549,1306412283]
				},{
					"billed_charge": 80.00,
					"npi": [1306412283,1437868106]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "825387674"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 28.93,
				"billing_code_modifier": ["GP"],
				"providers":[{
					"billed_charge": 60.00,
					"npi": [1205557071,1295361921,1467059634,1679921084,1689039349,1861140337]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "870737749"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 36.16,
				"billing_code_modifier": ["GP"],
				"providers":[{
					"billed_charge": 114.12,
					"npi": [1033801493]
				}]
			},{
				"allowed_amount": 144.64,
				"billing_code_modifier": ["GP"],
				"providers":[{
					"billed_charge": 456.48,
					"npi": [1033801493]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "953579976"
			},
			"service_code": ["11", "21"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"billing_code_modifier": ["GO"],
				"providers":[{
					"billed_charge": 106.00,
					"npi": [1417755372]
				},{
					"billed_charge": 90.00,
					"npi": [1053958660,1417755372]
				}]
			},{
				"allowed_amount": 0.00,
				"billing_code_modifier": ["GP"],
				"providers":[{
					"billed_charge": 106.00,
					"npi": [1053568196,1073161261,1104657444,1164179362,1295234433,1356102354,1366019010,1386692622,1497357008,1538868112,1669645081,1700151529,1912551433,1932821162]
				},{
					"billed_charge": 180.00,
					"npi": [1073161261,1295234433,1356102354,1366970733,1497357008,1548574379,1659180636,1669645081,1770151672,1912551433,1932821162,1992362024]
				},{
					"billed_charge": 212.00,
					"npi": [1356102354,1497357008,1538868112,1659180636,1669645081,1912551433,1932821162]
				},{
					"billed_charge": 270.00,
					"npi": [1255009189,1356102354,1497357008,1982237772]
				},{
					"billed_charge": 318.00,
					"npi": [1497357008]
				},{
					"billed_charge": 360.00,
					"npi": [1982237772]
				},{
					"billed_charge": 90.00,
					"npi": [1073161261,1104657444,1164179362,1194326413,1295234433,1356102354,1366019010,1366195042,1386692622,1497357008,1659180636,1669645081,1700151529,1790516953,1912551433,1932821162]
				}]
			},{
				"allowed_amount": 0.00,
				"billing_code_modifier": ["GP", "CQ"],
				"providers":[{
					"billed_charge": 106.00,
					"npi": [1174241087,1356102354,1366019010,1366195042,1497357008,1538868112,1669645081,1912551433]
				},{
					"billed_charge": 180.00,
					"npi": [1356102354,1366970733,1497357008,1669645081]
				},{
					"billed_charge": 212.00,
					"npi": [1356102354,1497357008,1538868112,1669645081]
				},{
					"billed_charge": 270.00,
					"npi": [1356102354]
				},{
					"billed_charge": 318.00,
					"npi": [1497357008]
				},{
					"billed_charge": 90.00,
					"npi": [1164179362,1174241087,1295234433,1366970733,1669645081,1770151672,1790516953,1932821162]
				}]
			},{
				"allowed_amount": 30.00,
				"billing_code_modifier": ["GP"],
				"providers":[{
					"billed_charge": 180.00,
					"npi": [1255009189,1366019010,1548574379,1659180636,1669645081,1700151529,1932821162,1982237772]
				},{
					"billed_charge": 212.00,
					"npi": [1548574379,1669645081,1700151529,1982237772]
				},{
					"billed_charge": 270.00,
					"npi": [1255009189,1356102354,1497357008,1659180636,1982237772]
				},{
					"billed_charge": 318.00,
					"npi": [1982237772]
				},{
					"billed_charge": 360.00,
					"npi": [1982237772]
				},{
					"billed_charge": 424.00,
					"npi": [1982237772]
				}]
			},{
				"allowed_amount": 30.00,
				"billing_code_modifier": ["GP", "CQ"],
				"providers":[{
					"billed_charge": 180.00,
					"npi": [1104657444,1164179362,1366195042,1386888667,1639622442,1669645081,1790516953,1932821162]
				},{
					"billed_charge": 212.00,
					"npi": [1366195042,1669645081,1790516953,1932821162]
				},{
					"billed_charge": 270.00,
					"npi": [1366019010,1659180636,1932821162,1982237772]
				},{
					"billed_charge": 318.00,
					"npi": [1538868112]
				}]
			},{
				"allowed_amount": 80.00,
				"billing_code_modifier": ["GP"],
				"providers":[{
					"billed_charge": 180.00,
					"npi": [1932821162]
				},{
					"billed_charge": 318.00,
					"npi": [1497357008]
				}]
			},{
				"allowed_amount": 80.00,
				"billing_code_modifier": ["GP", "CQ"],
				"providers":[{
					"billed_charge": 180.00,
					"npi": [1164179362]
				}]
			}]
		}]
	},{
		"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": ["GP"],
				"providers":[{
					"billed_charge": 54.08,
					"npi": [1063026243,1073329504,1083662456,1093564684,1194350744,1265557334,1740375062]
				}]
			},{
				"allowed_amount": 30.00,
				"billing_code_modifier": ["GP"],
				"providers":[{
					"billed_charge": 54.08,
					"npi": [1063026243,1073329504,1265557334,1740375062]
				},{
					"billed_charge": 108.16,
					"npi": [1063026243,1144798281,1154330496,1740375062,1932713823]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "260019293"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"billing_code_modifier": ["GP", "59"],
				"providers":[{
					"billed_charge": 44.00,
					"npi": [1194827816]
				}]
			}]
		},{
			"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]
				},{
					"billed_charge": 84.00,
					"npi": [1245341957,1396560199,1659722320,1710606009,1750559431,1891486619]
				}]
			},{
				"allowed_amount": 0.00,
				"billing_code_modifier": ["59", "GP"],
				"providers":[{
					"billed_charge": 84.00,
					"npi": [1750559431,1962274902]
				}]
			},{
				"allowed_amount": 30.00,
				"billing_code_modifier": ["GP"],
				"providers":[{
					"billed_charge": 168.00,
					"npi": [1750559431]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "330142586"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 24.44,
				"billing_code_modifier": ["59", "GP"],
				"providers":[{
					"billed_charge": 45.00,
					"npi": [1043930183,1376091561]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "330264878"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"billing_code_modifier": ["GP", "59"],
				"providers":[{
					"billed_charge": 87.00,
					"npi": [1396529244]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "330493339"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"billing_code_modifier": ["GP"],
				"providers":[{
					"billed_charge": 45.00,
					"npi": [1932671526]
				}]
			},{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 45.00,
					"npi": [1932671526]
				}]
			},{
				"allowed_amount": 30.00,
				"providers":[{
					"billed_charge": 80.00,
					"npi": [1366997702]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "455215138"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 30.55,
				"billing_code_modifier": ["GO", "59"],
				"providers":[{
					"billed_charge": 72.72,
					"npi": [1114282779]
				}]
			},{
				"allowed_amount": 30.55,
				"billing_code_modifier": ["GP", "59"],
				"providers":[{
					"billed_charge": 72.72,
					"npi": [1114282779]
				}]
			}]
		},{
			"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", "59"],
				"providers":[{
					"billed_charge": 130.00,
					"npi": [1285248906,1780815852]
				}]
			},{
				"allowed_amount": 27.50,
				"billing_code_modifier": ["GP"],
				"providers":[{
					"billed_charge": 65.00,
					"npi": [1285248906,1780815852]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "475556456"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"billing_code_modifier": ["GP"],
				"providers":[{
					"billed_charge": 100.00,
					"npi": [1245118637,1598284200,1609681329]
				}]
			},{
				"allowed_amount": 30.00,
				"billing_code_modifier": ["GP"],
				"providers":[{
					"billed_charge": 100.00,
					"npi": [1790409514]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "813597392"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 24.44,
				"billing_code_modifier": ["GP"],
				"providers":[{
					"billed_charge": 50.00,
					"npi": [1063046878,1073312492,1265481139,1760194302,1902505910]
				}]
			},{
				"allowed_amount": 48.88,
				"billing_code_modifier": ["GP"],
				"providers":[{
					"billed_charge": 100.00,
					"npi": [1073312492,1336894724]
				}]
			},{
				"allowed_amount": 0.00,
				"billing_code_modifier": ["GP"],
				"providers":[{
					"billed_charge": 100.00,
					"npi": [1902505910]
				},{
					"billed_charge": 50.00,
					"npi": [1760194302,1902505910]
				}]
			}]
		},{
			"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": [1306412283]
				}]
			},{
				"allowed_amount": 115.00,
				"billing_code_modifier": ["GP"],
				"providers":[{
					"billed_charge": 140.00,
					"npi": [1982812111]
				}]
			},{
				"allowed_amount": 115.00,
				"billing_code_modifier": ["GP", "59"],
				"providers":[{
					"billed_charge": 140.00,
					"npi": [1669148052,1982812111]
				},{
					"billed_charge": 70.00,
					"npi": [1174685549,1306412283,1982812111]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "825387674"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 24.44,
				"billing_code_modifier": ["GP"],
				"providers":[{
					"billed_charge": 75.00,
					"npi": [1205557071,1295361921,1396320487,1467059634,1679921084,1689039349,1861140337]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "870737749"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 61.10,
				"billing_code_modifier": ["GP"],
				"providers":[{
					"billed_charge": 179.46,
					"npi": [1033801493]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "953579976"
			},
			"service_code": ["11", "21"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"billing_code_modifier": ["GO"],
				"providers":[{
					"billed_charge": 75.00,
					"npi": [1053958660,1417755372]
				},{
					"billed_charge": 90.00,
					"npi": [1417755372]
				}]
			},{
				"allowed_amount": 0.00,
				"billing_code_modifier": ["GP"],
				"providers":[{
					"billed_charge": 150.00,
					"npi": [1497357008,1912551433,1982237772]
				},{
					"billed_charge": 180.00,
					"npi": [1295234433,1497357008]
				},{
					"billed_charge": 75.00,
					"npi": [1073161261,1104657444,1164179362,1194326413,1255009189,1295234433,1356102354,1366019010,1366195042,1386692622,1497357008,1548574379,1659180636,1669645081,1700151529,1790516953,1912551433,1932821162,1982237772,1992362024]
				},{
					"billed_charge": 90.00,
					"npi": [1053568196,1104657444,1164179362,1356102354,1366019010,1366195042,1497357008,1538868112,1548574379,1659180636,1669645081,1700151529,1912551433,1932821162,1982237772]
				}]
			},{
				"allowed_amount": 0.00,
				"billing_code_modifier": ["GP", "CQ"],
				"providers":[{
					"billed_charge": 150.00,
					"npi": [1790516953]
				},{
					"billed_charge": 180.00,
					"npi": [1295234433,1366195042,1790516953]
				},{
					"billed_charge": 75.00,
					"npi": [1104657444,1164179362,1174241087,1295234433,1356102354,1366019010,1366195042,1386888667,1497357008,1639622442,1659180636,1669645081,1790516953,1932821162,1982237772]
				},{
					"billed_charge": 90.00,
					"npi": [1174241087,1356102354,1366019010,1366195042,1497357008,1538868112,1669645081,1790516953,1912551433,1932821162]
				}]
			},{
				"allowed_amount": 30.00,
				"billing_code_modifier": ["GP"],
				"providers":[{
					"billed_charge": 150.00,
					"npi": [1073161261,1295234433,1790516953]
				},{
					"billed_charge": 180.00,
					"npi": [1295234433,1386692622]
				}]
			},{
				"allowed_amount": 30.00,
				"billing_code_modifier": ["GP", "CQ"],
				"providers":[{
					"billed_charge": 150.00,
					"npi": [1790516953]
				}]
			},{
				"allowed_amount": 80.00,
				"billing_code_modifier": ["GP"],
				"providers":[{
					"billed_charge": 150.00,
					"npi": [1073161261]
				},{
					"billed_charge": 180.00,
					"npi": [1073161261]
				}]
			}]
		}]
	},{
		"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": "205067091"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"billing_code_modifier": ["GP"],
				"providers":[{
					"billed_charge": 48.95,
					"npi": [1093564684]
				}]
			},{
				"allowed_amount": 0.00,
				"billing_code_modifier": ["GP", "59"],
				"providers":[{
					"billed_charge": 48.95,
					"npi": [1063026243,1073329504,1083662456,1093564684,1144798281,1154330496,1265557334,1740375062]
				},{
					"billed_charge": 97.90,
					"npi": [1073329504,1265557334]
				}]
			},{
				"allowed_amount": 30.00,
				"billing_code_modifier": ["GP", "59"],
				"providers":[{
					"billed_charge": 97.90,
					"npi": [1073329504,1265557334,1740375062]
				}]
			},{
				"allowed_amount": 85.00,
				"billing_code_modifier": ["GP", "59"],
				"providers":[{
					"billed_charge": 97.90,
					"npi": [1740375062]
				}]
			}]
		},{
			"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": [1396560199,1659722320,1669249769,1750559431,1891486619]
				}]
			},{
				"allowed_amount": 0.00,
				"billing_code_modifier": ["59", "GP"],
				"providers":[{
					"billed_charge": 90.00,
					"npi": [1710606009,1750559431]
				}]
			},{
				"allowed_amount": 30.00,
				"billing_code_modifier": ["GP"],
				"providers":[{
					"billed_charge": 180.00,
					"npi": [1669249769,1750559431]
				},{
					"billed_charge": 90.00,
					"npi": [1750559431]
				}]
			},{
				"allowed_amount": 30.00,
				"billing_code_modifier": ["59", "GP"],
				"providers":[{
					"billed_charge": 90.00,
					"npi": [1245341957,1396560199,1750559431]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "262193316"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 39.29,
				"billing_code_modifier": ["GP"],
				"providers":[{
					"billed_charge": 60.00,
					"npi": [1477432284]
				}]
			},{
				"allowed_amount": 39.29,
				"providers":[{
					"billed_charge": 60.00,
					"npi": [1477432284]
				}]
			},{
				"allowed_amount": 78.58,
				"billing_code_modifier": ["GO"],
				"providers":[{
					"billed_charge": 120.00,
					"npi": [1669792982]
				}]
			},{
				"allowed_amount": 78.58,
				"billing_code_modifier": ["GP"],
				"providers":[{
					"billed_charge": 120.00,
					"npi": [1477432284,1609916873]
				}]
			},{
				"allowed_amount": 78.58,
				"providers":[{
					"billed_charge": 120.00,
					"npi": [1477432284,1609916873]
				}]
			},{
				"allowed_amount": 78.58,
				"billing_code_modifier": ["GO", "59"],
				"providers":[{
					"billed_charge": 120.00,
					"npi": [1669792982]
				}]
			},{
				"allowed_amount": 78.58,
				"billing_code_modifier": ["GP", "59"],
				"providers":[{
					"billed_charge": 120.00,
					"npi": [1780154237]
				}]
			},{
				"allowed_amount": 117.87,
				"billing_code_modifier": ["GP"],
				"providers":[{
					"billed_charge": 180.00,
					"npi": [1609916873]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "300682739"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 300.00,
				"providers":[{
					"billed_charge": 300.00,
					"npi": [1124304001]
				}]
			}]
		},{
			"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": [1376127795]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "330905392"
			},
			"service_code": ["62"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 86.44,
				"billing_code_modifier": ["GP"],
				"providers":[{
					"billed_charge": 125.72,
					"npi": [1871597286]
				}]
			},{
				"allowed_amount": 129.66,
				"billing_code_modifier": ["GP"],
				"providers":[{
					"billed_charge": 188.58,
					"npi": [1871597286]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "455215138"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 78.58,
				"billing_code_modifier": ["GO", "59"],
				"providers":[{
					"billed_charge": 201.76,
					"npi": [1114282779,1447927249]
				}]
			},{
				"allowed_amount": 78.58,
				"billing_code_modifier": ["GP", "59"],
				"providers":[{
					"billed_charge": 201.76,
					"npi": [1114282779]
				}]
			},{
				"allowed_amount": 117.87,
				"billing_code_modifier": ["GP", "59"],
				"providers":[{
					"billed_charge": 302.64,
					"npi": [1114282779]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "455334364"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 165.00,
					"npi": [1659448694]
				},{
					"billed_charge": 55.00,
					"npi": [1659448694]
				}]
			},{
				"allowed_amount": 30.00,
				"providers":[{
					"billed_charge": 55.00,
					"npi": [1659448694]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "464813023"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 35.36,
				"providers":[{
					"billed_charge": 60.00,
					"npi": [1902475700,1972262541]
				}]
			},{
				"allowed_amount": 70.72,
				"providers":[{
					"billed_charge": 120.00,
					"npi": [1194316430]
				}]
			},{
				"allowed_amount": 106.08,
				"providers":[{
					"billed_charge": 180.00,
					"npi": [1194316430,1366226474,1568281491,1598429821,1740869668,1770926271,1912797358,1922874866]
				}]
			},{
				"allowed_amount": 141.44,
				"billing_code_modifier": ["GP"],
				"providers":[{
					"billed_charge": 240.00,
					"npi": [1194316430]
				}]
			},{
				"allowed_amount": 141.44,
				"providers":[{
					"billed_charge": 240.00,
					"npi": [1083224356,1194316430,1316490113,1366226474,1568281491,1598429821,1740869668,1770926271,1902475700,1912797358,1922874866,1972262541]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "475556456"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"billing_code_modifier": ["GP"],
				"providers":[{
					"billed_charge": 100.00,
					"npi": [1124886288,1609681329]
				},{
					"billed_charge": 200.00,
					"npi": [1124886288]
				}]
			},{
				"allowed_amount": 0.00,
				"billing_code_modifier": ["GP", "59"],
				"providers":[{
					"billed_charge": 100.00,
					"npi": [1245118637,1598284200,1609681329]
				},{
					"billed_charge": 200.00,
					"npi": [1598284200]
				},{
					"billed_charge": 300.00,
					"npi": [1124886288,1598284200,1790409514]
				}]
			},{
				"allowed_amount": 30.00,
				"billing_code_modifier": ["GP"],
				"providers":[{
					"billed_charge": 100.00,
					"npi": [1124886288,1609681329]
				},{
					"billed_charge": 200.00,
					"npi": [1124886288,1598284200]
				},{
					"billed_charge": 400.00,
					"npi": [1124886288,1164977419,1558231415,1598284200,1609681329]
				}]
			},{
				"allowed_amount": 30.00,
				"billing_code_modifier": ["GP", "59"],
				"providers":[{
					"billed_charge": 200.00,
					"npi": [1598284200]
				}]
			},{
				"allowed_amount": 85.00,
				"billing_code_modifier": ["GP"],
				"providers":[{
					"billed_charge": 200.00,
					"npi": [1558231415]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "813597392"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 31.43,
				"billing_code_modifier": ["GP"],
				"providers":[{
					"billed_charge": 50.00,
					"npi": [1073312492,1265481139]
				}]
			},{
				"allowed_amount": 31.43,
				"billing_code_modifier": ["GP", "59"],
				"providers":[{
					"billed_charge": 50.00,
					"npi": [1063046878,1073312492,1336894724,1760194302]
				}]
			},{
				"allowed_amount": 62.86,
				"billing_code_modifier": ["GP"],
				"providers":[{
					"billed_charge": 100.00,
					"npi": [1073312492,1265481139]
				}]
			},{
				"allowed_amount": 62.86,
				"billing_code_modifier": ["GP", "59"],
				"providers":[{
					"billed_charge": 100.00,
					"npi": [1063046878,1073312492,1760194302]
				}]
			},{
				"allowed_amount": 125.73,
				"billing_code_modifier": ["GP"],
				"providers":[{
					"billed_charge": 200.00,
					"npi": [1265481139]
				}]
			},{
				"allowed_amount": 0.00,
				"billing_code_modifier": ["GP", "59"],
				"providers":[{
					"billed_charge": 100.00,
					"npi": [1760194302]
				},{
					"billed_charge": 50.00,
					"npi": [1902505910]
				}]
			},{
				"allowed_amount": 94.30,
				"billing_code_modifier": ["GP"],
				"providers":[{
					"billed_charge": 150.00,
					"npi": [1265481139]
				}]
			},{
				"allowed_amount": 94.30,
				"billing_code_modifier": ["GP", "59"],
				"providers":[{
					"billed_charge": 150.00,
					"npi": [1073312492]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "821821291"
			},
			"service_code": ["11", "02"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 125.73,
				"billing_code_modifier": ["GO"],
				"providers":[{
					"billed_charge": 260.00,
					"npi": [1205375607,1790438554]
				}]
			},{
				"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]
				}]
			},{
				"allowed_amount": 94.30,
				"billing_code_modifier": ["GO"],
				"providers":[{
					"billed_charge": 195.00,
					"npi": [1861217390]
				}]
			}]
		},{
			"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": [1306412283,1982812111]
				},{
					"billed_charge": 200.00,
					"npi": [1982812111]
				}]
			},{
				"allowed_amount": 0.00,
				"billing_code_modifier": ["GP", "59"],
				"providers":[{
					"billed_charge": 200.00,
					"npi": [1306412283,1982812111]
				}]
			},{
				"allowed_amount": 115.00,
				"billing_code_modifier": ["GP"],
				"providers":[{
					"billed_charge": 200.00,
					"npi": [1306412283]
				}]
			},{
				"allowed_amount": 115.00,
				"billing_code_modifier": ["GP", "59"],
				"providers":[{
					"billed_charge": 200.00,
					"npi": [1306412283,1437868106]
				},{
					"billed_charge": 300.00,
					"npi": [1669148052]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "825387674"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 31.43,
				"billing_code_modifier": ["GP"],
				"providers":[{
					"billed_charge": 50.00,
					"npi": [1205557071,1295361921,1396320487,1467059634,1679921084,1689039349,1861140337]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "830523882"
			},
			"service_code": ["12"],
			"billing_class": "professional",
			"payments":[{
				"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": 78.58,
				"billing_code_modifier": ["GP"],
				"providers":[{
					"billed_charge": 251.46,
					"npi": [1033801493]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "953579976"
			},
			"service_code": ["11", "21"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"billing_code_modifier": ["GO"],
				"providers":[{
					"billed_charge": 116.00,
					"npi": [1417755372]
				},{
					"billed_charge": 232.00,
					"npi": [1417755372]
				},{
					"billed_charge": 98.00,
					"npi": [1417755372]
				}]
			},{
				"allowed_amount": 0.00,
				"billing_code_modifier": ["GP"],
				"providers":[{
					"billed_charge": 116.00,
					"npi": [1073161261,1104657444,1295234433,1366195042,1386692622,1548574379,1669645081,1700151529,1982237772]
				},{
					"billed_charge": 196.00,
					"npi": [1073161261,1194326413,1255009189,1356102354,1366970733,1497357008,1548574379,1659180636,1669645081,1912551433,1932821162,1982237772]
				},{
					"billed_charge": 232.00,
					"npi": [1073161261,1356102354,1497357008,1538868112,1912551433]
				},{
					"billed_charge": 294.00,
					"npi": [1366970733,1669645081]
				},{
					"billed_charge": 348.00,
					"npi": [1932821162]
				},{
					"billed_charge": 98.00,
					"npi": [1073161261,1164179362,1295234433,1366019010,1366195042,1386692622,1497357008,1548574379,1659180636,1669645081,1700151529,1790516953,1932821162,1982237772,1992362024]
				}]
			},{
				"allowed_amount": 0.00,
				"billing_code_modifier": ["GP", "CQ"],
				"providers":[{
					"billed_charge": 116.00,
					"npi": [1366195042,1669645081,1790516953,1932821162]
				},{
					"billed_charge": 196.00,
					"npi": [1366970733]
				},{
					"billed_charge": 232.00,
					"npi": [1497357008,1538868112,1912551433]
				},{
					"billed_charge": 294.00,
					"npi": [1366970733,1770151672]
				},{
					"billed_charge": 98.00,
					"npi": [1164179362,1295234433,1386888667,1639622442,1659180636,1669645081,1790516953,1932821162,1982237772]
				}]
			},{
				"allowed_amount": 15.00,
				"billing_code_modifier": ["GP"],
				"providers":[{
					"billed_charge": 294.00,
					"npi": [1912551433]
				}]
			},{
				"allowed_amount": 250.00,
				"billing_code_modifier": ["GP"],
				"providers":[{
					"billed_charge": 116.00,
					"npi": [1164179362]
				},{
					"billed_charge": 98.00,
					"npi": [1386692622]
				}]
			},{
				"allowed_amount": 250.00,
				"billing_code_modifier": ["GP", "CQ"],
				"providers":[{
					"billed_charge": 232.00,
					"npi": [1295234433]
				}]
			},{
				"allowed_amount": 30.00,
				"billing_code_modifier": ["GP"],
				"providers":[{
					"billed_charge": 116.00,
					"npi": [1053568196,1164179362,1700151529]
				},{
					"billed_charge": 196.00,
					"npi": [1073161261,1104657444,1194326413,1295234433,1356102354,1497357008,1548574379,1659180636,1669645081,1700151529,1770151672,1912551433,1932821162]
				},{
					"billed_charge": 232.00,
					"npi": [1295234433,1356102354,1366019010,1497357008,1538868112,1669645081,1912551433,1932821162]
				},{
					"billed_charge": 294.00,
					"npi": [1356102354,1497357008]
				},{
					"billed_charge": 348.00,
					"npi": [1669645081]
				},{
					"billed_charge": 98.00,
					"npi": [1073161261,1164179362,1366019010,1386692622,1669645081,1790516953]
				}]
			},{
				"allowed_amount": 30.00,
				"billing_code_modifier": ["GP", "CQ"],
				"providers":[{
					"billed_charge": 116.00,
					"npi": [1366195042]
				},{
					"billed_charge": 196.00,
					"npi": [1174241087,1295234433,1356102354,1497357008,1669645081]
				},{
					"billed_charge": 232.00,
					"npi": [1174241087,1356102354,1366019010,1497357008,1538868112,1669645081,1912551433]
				},{
					"billed_charge": 294.00,
					"npi": [1356102354,1770151672]
				},{
					"billed_charge": 348.00,
					"npi": [1356102354,1538868112]
				},{
					"billed_charge": 392.00,
					"npi": [1538868112]
				},{
					"billed_charge": 98.00,
					"npi": [1164179362,1669645081]
				}]
			},{
				"allowed_amount": 50.00,
				"billing_code_modifier": ["GP"],
				"providers":[{
					"billed_charge": 232.00,
					"npi": [1659180636]
				},{
					"billed_charge": 348.00,
					"npi": [1497357008,1912551433]
				}]
			},{
				"allowed_amount": 50.00,
				"billing_code_modifier": ["GP", "CQ"],
				"providers":[{
					"billed_charge": 348.00,
					"npi": [1497357008]
				}]
			},{
				"allowed_amount": 80.00,
				"billing_code_modifier": ["GO"],
				"providers":[{
					"billed_charge": 116.00,
					"npi": [1417755372]
				},{
					"billed_charge": 196.00,
					"npi": [1053958660]
				},{
					"billed_charge": 232.00,
					"npi": [1417755372]
				},{
					"billed_charge": 294.00,
					"npi": [1053958660]
				},{
					"billed_charge": 98.00,
					"npi": [1417755372]
				}]
			},{
				"allowed_amount": 80.00,
				"billing_code_modifier": ["GP"],
				"providers":[{
					"billed_charge": 196.00,
					"npi": [1104657444,1497357008,1932821162]
				},{
					"billed_charge": 232.00,
					"npi": [1104657444,1497357008,1932821162]
				}]
			},{
				"allowed_amount": 80.00,
				"billing_code_modifier": ["GP", "CQ"],
				"providers":[{
					"billed_charge": 98.00,
					"npi": [1932821162]
				}]
			}]
		}]
	},{
		"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": "205067091"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"billing_code_modifier": ["GP"],
				"providers":[{
					"billed_charge": 49.22,
					"npi": [1194350744]
				}]
			}]
		},{
			"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": [1588484042,1659722320,1710606009,1750559431]
				}]
			},{
				"allowed_amount": 0.00,
				"billing_code_modifier": ["59", "GP"],
				"providers":[{
					"billed_charge": 95.00,
					"npi": [1710606009]
				}]
			},{
				"allowed_amount": 30.00,
				"billing_code_modifier": ["GP"],
				"providers":[{
					"billed_charge": 95.00,
					"npi": [1396560199,1659722320]
				}]
			},{
				"allowed_amount": 30.00,
				"billing_code_modifier": ["59", "GP"],
				"providers":[{
					"billed_charge": 95.00,
					"npi": [1710606009]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "330142586"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 28.83,
				"billing_code_modifier": ["59", "GP"],
				"providers":[{
					"billed_charge": 50.00,
					"npi": [1043930183]
				}]
			},{
				"allowed_amount": 57.66,
				"billing_code_modifier": ["59", "GP"],
				"providers":[{
					"billed_charge": 100.00,
					"npi": [1043930183]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "463294528"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 64.87,
				"billing_code_modifier": ["GP"],
				"providers":[{
					"billed_charge": 120.00,
					"npi": [1285248906]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "821821291"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 115.33,
				"billing_code_modifier": ["GO"],
				"providers":[{
					"billed_charge": 260.00,
					"npi": [1861217390]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "842681603"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 129.74,
				"billing_code_modifier": ["GO"],
				"providers":[{
					"billed_charge": 150.00,
					"npi": [1225722283]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "951684089"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 47.52,
				"billing_code_modifier": ["GO"],
				"providers":[{
					"billed_charge": 95.04,
					"npi": [1841277704]
				}]
			}]
		}]
	},{
		"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": ["20"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 200.00,
				"providers":[{
					"billed_charge": 200.00,
					"npi": [ ]
				}]
			},{
				"allowed_amount": 275.00,
				"providers":[{
					"billed_charge": 275.00,
					"npi": [ ]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "204985038"
			},
			"service_code": ["20"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 73.12,
				"providers":[{
					"billed_charge": 345.00,
					"npi": [1538414834]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "237064656"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 430.00,
					"npi": [1952561102]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "237064656"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 141.08,
				"providers":[{
					"billed_charge": 430.00,
					"npi": [1073758652]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "260844323"
			},
			"service_code": ["02"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"billing_code_modifier": ["95"],
				"providers":[{
					"billed_charge": 173.80,
					"npi": [1568659233]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "262946628"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 287.00,
					"npi": [1700270279]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "263575816"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 120.00,
				"providers":[{
					"billed_charge": 120.00,
					"npi": [1992816532]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "272973102"
			},
			"service_code": ["20"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"billing_code_modifier": ["25"],
				"providers":[{
					"billed_charge": 289.00,
					"npi": [1366168031]
				}]
			},{
				"allowed_amount": 130.00,
				"billing_code_modifier": ["25"],
				"providers":[{
					"billed_charge": 289.00,
					"npi": [1366168031]
				}]
			},{
				"allowed_amount": 130.00,
				"providers":[{
					"billed_charge": 289.00,
					"npi": [1053762005,1316438807,1619523024]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "522372297"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 153.90,
				"billing_code_modifier": ["25"],
				"providers":[{
					"billed_charge": 897.75,
					"npi": [1225224041]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "561463611"
			},
			"service_code": ["20"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 207.00,
				"providers":[{
					"billed_charge": 207.00,
					"npi": [1568080810]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "843408070"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 233.00,
					"npi": [1952708075]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "851071911"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"billing_code_modifier": ["25"],
				"providers":[{
					"billed_charge": 233.00,
					"npi": [1124477211]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "863816581"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"billing_code_modifier": ["25"],
				"providers":[{
					"billed_charge": 240.00,
					"npi": [1124477211]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "870548732"
			},
			"service_code": ["20"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 266.00,
				"billing_code_modifier": ["25"],
				"providers":[{
					"billed_charge": 266.00,
					"npi": [1881656106]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "870737748"
			},
			"service_code": ["11", "20"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 73.12,
				"providers":[{
					"billed_charge": 305.20,
					"npi": [1952515959]
				}]
			},{
				"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": 73.12,
				"billing_code_modifier": ["25"],
				"providers":[{
					"billed_charge": 305.20,
					"npi": [1659371995]
				}]
			},{
				"allowed_amount": 73.12,
				"providers":[{
					"billed_charge": 305.20,
					"npi": [1619364296,1659371995,1962503805]
				}]
			},{
				"allowed_amount": 128.25,
				"billing_code_modifier": ["25"],
				"providers":[{
					"billed_charge": 305.20,
					"npi": [1033997309]
				}]
			},{
				"allowed_amount": 128.25,
				"providers":[{
					"billed_charge": 305.20,
					"npi": [1467838425,1508511452]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "931905975"
			},
			"service_code": ["20"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 138.39,
				"providers":[{
					"billed_charge": 173.00,
					"npi": [1376735688]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "934895258"
			},
			"service_code": ["20"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 335.00,
				"providers":[{
					"billed_charge": 335.00,
					"npi": [1114798071]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "951691313"
			},
			"service_code": ["20"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 265.53,
				"providers":[{
					"billed_charge": 430.00,
					"npi": [1033627062,1134681265,1275895849,1285014498,1316162324,1376862177,1407299787,1477626513,1700464237,1790454130,1811423072,1841687563,1851927883,1992125520]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "951691313"
			},
			"service_code": ["10", "11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 119.19,
				"billing_code_modifier": ["95"],
				"providers":[{
					"billed_charge": 414.00,
					"npi": [1275604035]
				}]
			},{
				"allowed_amount": 209.05,
				"billing_code_modifier": ["25"],
				"providers":[{
					"billed_charge": 414.00,
					"npi": [1356514624,1619151685,1952490807]
				}]
			},{
				"allowed_amount": 209.05,
				"providers":[{
					"billed_charge": 414.00,
					"npi": [1104997964,1144229600,1356502520,1386140085,1427254937,1538365002,1548477631,1558666032,1568686871,1760793822,1851540199,1952490807]
				}]
			},{
				"allowed_amount": 205.20,
				"billing_code_modifier": ["25"],
				"providers":[{
					"billed_charge": 414.00,
					"npi": [1952490807]
				}]
			},{
				"allowed_amount": 205.20,
				"providers":[{
					"billed_charge": 414.00,
					"npi": [1386140085,1548417652,1558666032,1659305753,1760793822,1851540199]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "956111785"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 201.00,
					"npi": [1003891482]
				}]
			}]
		}]
	},{
		"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": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 304.59,
				"providers":[{
					"billed_charge": 304.59,
					"npi": [ ]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "202138632"
			},
			"service_code": ["10", "20"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"billing_code_modifier": ["25"],
				"providers":[{
					"billed_charge": 625.00,
					"npi": [1053913541]
				}]
			},{
				"allowed_amount": 0.00,
				"billing_code_modifier": ["95"],
				"providers":[{
					"billed_charge": 625.00,
					"npi": [1134309305]
				}]
			}]
		},{
			"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": 211.71,
				"providers":[{
					"billed_charge": 652.00,
					"npi": [1093764177]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "237064656"
			},
			"service_code": ["22"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 632.00,
					"npi": [1932297330]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "272973102"
			},
			"service_code": ["20"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 433.00,
					"npi": [1366299315,1396058137]
				}]
			},{
				"allowed_amount": 130.00,
				"billing_code_modifier": ["25"],
				"providers":[{
					"billed_charge": 433.00,
					"npi": [1053762005,1366299315,1629581764]
				}]
			},{
				"allowed_amount": 130.00,
				"providers":[{
					"billed_charge": 433.00,
					"npi": [1013557925,1366299315,1629581764]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "274666463"
			},
			"service_code": ["20"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 215.85,
				"billing_code_modifier": ["25"],
				"providers":[{
					"billed_charge": 360.00,
					"npi": [1962463901]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "330675801"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 192.46,
				"providers":[{
					"billed_charge": 250.00,
					"npi": [1033198320]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "330678374"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 215.85,
				"providers":[{
					"billed_charge": 300.00,
					"npi": [1902337827]
				}]
			}]
		},{
			"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": "352762081"
			},
			"service_code": ["72"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 0.00,
					"npi": [1962117440]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "453583707"
			},
			"service_code": ["20"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 215.78,
				"providers":[{
					"billed_charge": 485.00,
					"npi": [1831585272]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "465562958"
			},
			"service_code": ["20"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 120.16,
				"providers":[{
					"billed_charge": 350.00,
					"npi": [1598200016]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "473999171"
			},
			"service_code": ["20"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 215.85,
				"billing_code_modifier": ["25"],
				"providers":[{
					"billed_charge": 340.00,
					"npi": [1194755363]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "522372297"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 230.95,
				"providers":[{
					"billed_charge": 1347.22,
					"npi": [1225224041]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "562355726"
			},
			"service_code": ["22"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 120.16,
				"billing_code_modifier": ["57"],
				"providers":[{
					"billed_charge": 646.00,
					"npi": [1811054604]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "810799828"
			},
			"service_code": ["20"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 144.19,
				"providers":[{
					"billed_charge": 295.00,
					"npi": [1811273733]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "821953999"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 214.81,
				"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": 240.58,
				"billing_code_modifier": ["25"],
				"providers":[{
					"billed_charge": 617.00,
					"npi": [1306074893]
				}]
			},{
				"allowed_amount": 150.20,
				"billing_code_modifier": ["25"],
				"providers":[{
					"billed_charge": 617.00,
					"npi": [1306074893]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "832457920"
			},
			"service_code": ["20"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 215.78,
				"providers":[{
					"billed_charge": 321.00,
					"npi": [1740243104]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "863816581"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 395.00,
				"billing_code_modifier": ["25"],
				"providers":[{
					"billed_charge": 395.00,
					"npi": [1538487756]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "870737748"
			},
			"service_code": ["20"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 120.16,
				"billing_code_modifier": ["25"],
				"providers":[{
					"billed_charge": 452.88,
					"npi": [1962426510]
				}]
			},{
				"allowed_amount": 120.16,
				"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": 120.16,
				"providers":[{
					"billed_charge": 452.88,
					"npi": [1548248511]
				}]
			},{
				"allowed_amount": 192.46,
				"providers":[{
					"billed_charge": 452.88,
					"npi": [1295355303,1467006148,1770223307,1932722758]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "921398286"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 192.46,
				"providers":[{
					"billed_charge": 481.15,
					"npi": [1861428112]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "934895258"
			},
			"service_code": ["20"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 126.16,
				"providers":[{
					"billed_charge": 430.00,
					"npi": [1568476802]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "951691313"
			},
			"service_code": ["20"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 364.33,
				"providers":[{
					"billed_charge": 590.00,
					"npi": [1316162324,1376862177,1609947464,1689646689,1790454130]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "951691313"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 307.94,
				"billing_code_modifier": ["25"],
				"providers":[{
					"billed_charge": 617.00,
					"npi": [1295198091,1558666032]
				}]
			},{
				"allowed_amount": 307.94,
				"providers":[{
					"billed_charge": 617.00,
					"npi": [1073019279,1194046581,1306227491,1366513129]
				}]
			},{
				"allowed_amount": 313.71,
				"billing_code_modifier": ["25"],
				"providers":[{
					"billed_charge": 617.00,
					"npi": [1265797591,1356570758,1538279484,1558666032,1851540199]
				}]
			},{
				"allowed_amount": 313.71,
				"billing_code_modifier": ["GC"],
				"providers":[{
					"billed_charge": 617.00,
					"npi": [1427435825]
				}]
			},{
				"allowed_amount": 313.71,
				"providers":[{
					"billed_charge": 617.00,
					"npi": [1053843466,1114136934,1164436291,1306227491,1326207283,1346674561,1356502520,1386140085,1487635272,1497792220,1508250747,1548477631,1548521511,1568686871,1851540199,1962066035]
				}]
			},{
				"allowed_amount": 313.71,
				"billing_code_modifier": ["25", "GC"],
				"providers":[{
					"billed_charge": 617.00,
					"npi": [1538279484,1831423250]
				}]
			},{
				"allowed_amount": 313.71,
				"billing_code_modifier": ["25", "GO"],
				"providers":[{
					"billed_charge": 617.00,
					"npi": [1538279484]
				}]
			}]
		}]
	},{
		"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": "330735143"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 85.68,
				"billing_code_modifier": ["25"],
				"providers":[{
					"billed_charge": 120.00,
					"npi": [1275066334]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "330901743"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 79.09,
				"billing_code_modifier": ["25"],
				"providers":[{
					"billed_charge": 115.00,
					"npi": [1639524424]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "464708943"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 62.00,
				"billing_code_modifier": ["GT"],
				"providers":[{
					"billed_charge": 62.00,
					"npi": [1396833158,1740756253,1922414036]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "870737749"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 65.91,
				"providers":[{
					"billed_charge": 155.88,
					"npi": [1255737847]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "951690977"
			},
			"service_code": ["22"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 137.15,
				"providers":[{
					"billed_charge": 211.00,
					"npi": [1124073366]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "951691313"
			},
			"service_code": ["20"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 355.00,
					"npi": [1710065933]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "951691313"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 107.43,
				"providers":[{
					"billed_charge": 213.00,
					"npi": [1902414790]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "956111785"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 62.50,
				"providers":[{
					"billed_charge": 125.00,
					"npi": [1003891482,1225019557]
				}]
			}]
		}]
	},{
		"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": ["02"],
			"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": "237064656"
			},
			"service_code": ["11", "02"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 115.15,
				"billing_code_modifier": ["95"],
				"providers":[{
					"billed_charge": 380.00,
					"npi": [1235122961]
				}]
			},{
				"allowed_amount": 115.15,
				"providers":[{
					"billed_charge": 380.00,
					"npi": [1265068142]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "237064656"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"billing_code_modifier": ["25"],
				"providers":[{
					"billed_charge": 380.00,
					"npi": [1588988919]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "272359751"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"billing_code_modifier": ["25"],
				"providers":[{
					"billed_charge": 125.13,
					"npi": [1891812962]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "272973102"
			},
			"service_code": ["20"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 130.00,
				"providers":[{
					"billed_charge": 236.00,
					"npi": [1366168031]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "274666463"
			},
			"service_code": ["20"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 117.40,
				"billing_code_modifier": ["25"],
				"providers":[{
					"billed_charge": 203.00,
					"npi": [1235265844]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "330107822"
			},
			"service_code": ["10"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"billing_code_modifier": ["95"],
				"providers":[{
					"billed_charge": 125.00,
					"npi": [1073628228]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "330662258"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 94.21,
				"providers":[{
					"billed_charge": 251.00,
					"npi": [1043848807,1356461842,1619948635]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "330901743"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 125.62,
				"billing_code_modifier": ["25"],
				"providers":[{
					"billed_charge": 185.00,
					"npi": [1639524424]
				}]
			},{
				"allowed_amount": 125.62,
				"providers":[{
					"billed_charge": 185.00,
					"npi": [1639524424]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "462113991"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 150.00,
					"npi": [1841832599]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "464708943"
			},
			"service_code": ["10", "11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 105.00,
				"billing_code_modifier": ["GT"],
				"providers":[{
					"billed_charge": 105.00,
					"npi": [1790836104]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "473999171"
			},
			"service_code": ["20"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 117.40,
				"billing_code_modifier": ["25"],
				"providers":[{
					"billed_charge": 200.00,
					"npi": [1457388720]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "824454688"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 117.40,
				"providers":[{
					"billed_charge": 380.00,
					"npi": [1912186503]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "824750959"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 197.00,
					"npi": [1578908273]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "851071911"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 157.02,
					"npi": [1124477211]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "861175591"
			},
			"service_code": ["20"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 131.87,
				"providers":[{
					"billed_charge": 326.00,
					"npi": [1881685311]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "863746883"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 114.00,
					"npi": [1366026668]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "863816581"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"billing_code_modifier": ["25"],
				"providers":[{
					"billed_charge": 195.00,
					"npi": [1124477211]
				}]
			},{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 195.00,
					"npi": [1124477211]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "870737748"
			},
			"service_code": ["11", "20"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 59.54,
				"billing_code_modifier": ["25"],
				"providers":[{
					"billed_charge": 248.45,
					"npi": [1649516154]
				}]
			},{
				"allowed_amount": 104.68,
				"providers":[{
					"billed_charge": 248.45,
					"npi": [1326076043,1386030831,1548802416,1609072362,1942215710]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "870737749"
			},
			"service_code": ["11", "20"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 59.54,
				"providers":[{
					"billed_charge": 248.45,
					"npi": [1548248511,1659371995,1962503805]
				}]
			},{
				"allowed_amount": 104.68,
				"providers":[{
					"billed_charge": 248.45,
					"npi": [1255737847,1467006148,1508511452]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "951690977"
			},
			"service_code": ["22"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 141.70,
				"providers":[{
					"billed_charge": 218.00,
					"npi": [1124073366]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "951691313"
			},
			"service_code": ["20"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 219.21,
				"billing_code_modifier": ["GC"],
				"providers":[{
					"billed_charge": 355.00,
					"npi": [1942223664]
				}]
			},{
				"allowed_amount": 219.21,
				"providers":[{
					"billed_charge": 355.00,
					"npi": [1134681265,1376862177,1407299787,1609947464,1811423072,1851927883,1942223664]
				}]
			},{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 355.00,
					"npi": [1790856557]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "951691313"
			},
			"service_code": ["20"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 688.00,
					"npi": [1710065933]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "951691313"
			},
			"service_code": ["10", "11", "02"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 97.05,
				"billing_code_modifier": ["95"],
				"providers":[{
					"billed_charge": 340.00,
					"npi": [1316101256,1619151685]
				}]
			},{
				"allowed_amount": 167.49,
				"billing_code_modifier": ["25"],
				"providers":[{
					"billed_charge": 340.00,
					"npi": [1952490807]
				}]
			},{
				"allowed_amount": 167.49,
				"providers":[{
					"billed_charge": 340.00,
					"npi": [1023189883,1386140085,1548477631,1578097127,1851540199,1962066035]
				}]
			},{
				"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": [1124051420]
				}]
			},{
				"allowed_amount": 170.63,
				"billing_code_modifier": ["95"],
				"providers":[{
					"billed_charge": 251.00,
					"npi": [1114389491]
				}]
			},{
				"allowed_amount": 170.63,
				"providers":[{
					"billed_charge": 340.00,
					"npi": [1104997964,1124230909,1144229600,1164436291,1356502520,1386140085,1548417652,1558666032,1619151685,1659305753,1659634699,1851540199,1952490807,1992982854]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "952801772"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 134.73,
					"npi": [1184478042,1659638062,1801112925,1932106986]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "952815615"
			},
			"service_code": ["50"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 250.00,
					"npi": [1891759403]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "953107363"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 104.68,
				"billing_code_modifier": ["25"],
				"providers":[{
					"billed_charge": 315.00,
					"npi": [1003817578]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "953134847"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"billing_code_modifier": ["25"],
				"providers":[{
					"billed_charge": 197.00,
					"npi": [1417034489]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "956111785"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 94.00,
				"providers":[{
					"billed_charge": 188.00,
					"npi": [1265435606,1710474176]
				}]
			}]
		}]
	},{
		"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": " ",
				"value": ""
			},
			"service_code": ["11", "20"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 255.00,
				"providers":[{
					"billed_charge": 255.00,
					"npi": [ ]
				}]
			},{
				"allowed_amount": 301.60,
				"providers":[{
					"billed_charge": 301.60,
					"npi": [ ]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "200358722"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 178.18,
				"providers":[{
					"billed_charge": 250.00,
					"npi": [1861804247]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "202138632"
			},
			"service_code": ["10", "11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"billing_code_modifier": ["95"],
				"providers":[{
					"billed_charge": 480.00,
					"npi": [1467186999]
				}]
			},{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 480.00,
					"npi": [1780796235]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "204215230"
			},
			"service_code": ["10"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 104.83,
				"billing_code_modifier": ["95"],
				"providers":[{
					"billed_charge": 407.88,
					"npi": [1124805536]
				}]
			}]
		},{
			"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,
				"billing_code_modifier": ["25"],
				"providers":[{
					"billed_charge": 200.00,
					"npi": [1154395440]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "208212563"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"billing_code_modifier": ["95"],
				"providers":[{
					"billed_charge": 180.00,
					"npi": [1992879472]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "208785833"
			},
			"service_code": ["20"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 159.80,
				"billing_code_modifier": ["25"],
				"providers":[{
					"billed_charge": 222.00,
					"npi": [1275601478]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "272973102"
			},
			"service_code": ["20"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 130.00,
				"billing_code_modifier": ["25"],
				"providers":[{
					"billed_charge": 334.00,
					"npi": [1629581764]
				}]
			},{
				"allowed_amount": 130.00,
				"providers":[{
					"billed_charge": 334.00,
					"npi": [1003559907,1013557925,1316438807,1366299315]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "273669526"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"billing_code_modifier": ["95"],
				"providers":[{
					"billed_charge": 200.00,
					"npi": [1003890666,1093015828]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "274666463"
			},
			"service_code": ["20"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 83.26,
				"billing_code_modifier": ["25"],
				"providers":[{
					"billed_charge": 287.00,
					"npi": [1093867970]
				}]
			},{
				"allowed_amount": 166.53,
				"billing_code_modifier": ["25"],
				"providers":[{
					"billed_charge": 287.00,
					"npi": [1235265844,1457391740]
				}]
			},{
				"allowed_amount": 166.53,
				"billing_code_modifier": ["95"],
				"providers":[{
					"billed_charge": 287.00,
					"npi": [1235265844,1811938038]
				}]
			},{
				"allowed_amount": 166.53,
				"providers":[{
					"billed_charge": 287.00,
					"npi": [1235265844]
				}]
			}]
		},{
			"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": "330541978"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 148.48,
				"billing_code_modifier": ["25"],
				"providers":[{
					"billed_charge": 225.00,
					"npi": [1003067745]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "330635341"
			},
			"service_code": ["10"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 104.83,
				"billing_code_modifier": ["95"],
				"providers":[{
					"billed_charge": 417.00,
					"npi": [1053641563]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "330789137"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 148.48,
				"providers":[{
					"billed_charge": 200.00,
					"npi": [1285400333]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "330871567"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 200.00,
					"npi": [1568429389]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "330901743"
			},
			"service_code": ["11", "02"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 178.18,
				"billing_code_modifier": ["95"],
				"providers":[{
					"billed_charge": 280.00,
					"npi": [1639524424]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "340714585"
			},
			"service_code": ["20"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 768.00,
				"providers":[{
					"billed_charge": 768.00,
					"npi": [1679525919]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "352762081"
			},
			"service_code": ["72"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 0.00,
					"npi": [1962117440]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "453206217"
			},
			"service_code": ["02"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"billing_code_modifier": ["GT"],
				"providers":[{
					"billed_charge": 500.00,
					"npi": [1225334097]
				}]
			}]
		},{
			"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": [1841832599]
				}]
			},{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 200.00,
					"npi": [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": "473999171"
			},
			"service_code": ["20"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 83.26,
				"billing_code_modifier": ["25"],
				"providers":[{
					"billed_charge": 260.00,
					"npi": [1457388720]
				}]
			},{
				"allowed_amount": 165.73,
				"billing_code_modifier": ["25"],
				"providers":[{
					"billed_charge": 260.00,
					"npi": [1194755363]
				}]
			},{
				"allowed_amount": 166.53,
				"billing_code_modifier": ["25"],
				"providers":[{
					"billed_charge": 260.00,
					"npi": [1457388720]
				}]
			},{
				"allowed_amount": 166.53,
				"providers":[{
					"billed_charge": 260.00,
					"npi": [1194755363,1457388720]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "475312741"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 277.00,
					"npi": [1578908273]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "522372297"
			},
			"service_code": ["11", "02"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 178.18,
				"billing_code_modifier": ["25"],
				"providers":[{
					"billed_charge": 1039.36,
					"npi": [1073672473]
				}]
			},{
				"allowed_amount": 178.18,
				"billing_code_modifier": ["95"],
				"providers":[{
					"billed_charge": 1039.36,
					"npi": [1073672473]
				}]
			},{
				"allowed_amount": 178.18,
				"providers":[{
					"billed_charge": 1039.36,
					"npi": [1073672473,1225224041]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "821953999"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 165.73,
				"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": "824750959"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 277.00,
					"npi": [1578908273]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "870737748"
			},
			"service_code": ["11", "20"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 87.36,
				"providers":[{
					"billed_charge": 350.30,
					"npi": [1952515959]
				}]
			},{
				"allowed_amount": 148.48,
				"providers":[{
					"billed_charge": 350.30,
					"npi": [1447451729,1538113493,1790139434,1942215710]
				}]
			}]
		},{
			"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": [1548248511,1962503805]
				}]
			},{
				"allowed_amount": 148.48,
				"billing_code_modifier": ["25"],
				"providers":[{
					"billed_charge": 350.30,
					"npi": [1174151120]
				}]
			},{
				"allowed_amount": 148.48,
				"providers":[{
					"billed_charge": 350.30,
					"npi": [1174037451,1255737847,1396301529,1467006148,1508511452,1649219395,1750687158,1770223307,1962504423]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "872475176"
			},
			"service_code": ["10"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"billing_code_modifier": ["GT"],
				"providers":[{
					"billed_charge": 284.56,
					"npi": [1952797540]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "920943759"
			},
			"service_code": ["20"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 109.20,
				"billing_code_modifier": ["25"],
				"providers":[{
					"billed_charge": 238.00,
					"npi": [1003205808]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "923103316"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 148.48,
				"providers":[{
					"billed_charge": 216.00,
					"npi": [1437543733]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "951691313"
			},
			"service_code": ["20"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 249.47,
				"providers":[{
					"billed_charge": 404.00,
					"npi": [1891122610]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "951691313"
			},
			"service_code": ["10", "11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 139.78,
				"billing_code_modifier": ["95"],
				"providers":[{
					"billed_charge": 476.00,
					"npi": [1417222472]
				}]
			},{
				"allowed_amount": 237.57,
				"providers":[{
					"billed_charge": 476.00,
					"npi": [1558666032,1699216010,1740316405,1851540199]
				}]
			},{
				"allowed_amount": 242.02,
				"billing_code_modifier": ["25"],
				"providers":[{
					"billed_charge": 476.00,
					"npi": [1124230909,1952490807,1952740177]
				}]
			},{
				"allowed_amount": 242.02,
				"providers":[{
					"billed_charge": 476.00,
					"npi": [1124580139,1144615659,1235167321,1235287947,1316101256,1326207283,1346674561,1356502520,1386140085,1518036821,1568686871,1588846380,1619151685,1659305753,1659634699,1699216010,1801094115,1811919244,1851540199,1952534091,1962066035,1992982854]
				}]
			},{
				"allowed_amount": 142.40,
				"billing_code_modifier": ["95"],
				"providers":[{
					"billed_charge": 476.00,
					"npi": [1346426996]
				}]
			},{
				"allowed_amount": 142.40,
				"billing_code_modifier": ["25", "95"],
				"providers":[{
					"billed_charge": 476.00,
					"npi": [1750492146]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "951750445"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 358.00,
					"npi": [1225060742]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "952666087"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 148.48,
				"billing_code_modifier": ["25"],
				"providers":[{
					"billed_charge": 371.20,
					"npi": [1952363038]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "952801772"
			},
			"service_code": ["02"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"billing_code_modifier": ["93"],
				"providers":[{
					"billed_charge": 195.25,
					"npi": [1639799760]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "952812181"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 185.60,
					"npi": [1114963170]
				}]
			}]
		}]
	},{
		"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": " ",
				"value": ""
			},
			"service_code": ["20"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 215.00,
				"providers":[{
					"billed_charge": 215.00,
					"npi": [ ]
				}]
			}]
		},{
			"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": "202200953"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 209.99,
				"providers":[{
					"billed_charge": 248.00,
					"npi": [1851309314]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "237064656"
			},
			"service_code": ["11", "22"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 143.10,
				"providers":[{
					"billed_charge": 600.00,
					"npi": [1346470408,1952535114]
				}]
			},{
				"allowed_amount": 42.00,
				"providers":[{
					"billed_charge": 600.00,
					"npi": [1831553718]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "237064656"
			},
			"service_code": ["22"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 143.10,
				"providers":[{
					"billed_charge": 600.00,
					"npi": [1437253671]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "237064656"
			},
			"service_code": ["22"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 143.10,
				"providers":[{
					"billed_charge": 600.00,
					"npi": [1093169963]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "237064656"
			},
			"service_code": ["22"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 143.10,
				"providers":[{
					"billed_charge": 600.00,
					"npi": [1427176221]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "272973102"
			},
			"service_code": ["20"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 130.00,
				"providers":[{
					"billed_charge": 472.00,
					"npi": [1013557925]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "330102201"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 251.99,
				"providers":[{
					"billed_charge": 374.00,
					"npi": [1730110529]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "330541971"
			},
			"service_code": ["11", "02"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 230.99,
				"providers":[{
					"billed_charge": 520.00,
					"npi": [1023105335]
				}]
			},{
				"allowed_amount": 0.00,
				"billing_code_modifier": ["95"],
				"providers":[{
					"billed_charge": 520.00,
					"npi": [1023105335]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "824454688"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 600.00,
					"npi": [1356876064]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "870737748"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 209.99,
				"providers":[{
					"billed_charge": 491.28,
					"npi": [1184252439]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "870737749"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 209.99,
				"providers":[{
					"billed_charge": 491.28,
					"npi": [1033997309,1952599490]
				}]
			}]
		},{
			"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": [1801316526,1871752451]
				}]
			},{
				"allowed_amount": 342.28,
				"billing_code_modifier": ["25"],
				"providers":[{
					"billed_charge": 666.00,
					"npi": [1326207283,1356570758,1801952197]
				}]
			},{
				"allowed_amount": 342.28,
				"billing_code_modifier": ["GC"],
				"providers":[{
					"billed_charge": 666.00,
					"npi": [1427140839]
				}]
			},{
				"allowed_amount": 342.28,
				"providers":[{
					"billed_charge": 666.00,
					"npi": [1033642574,1225590086,1235423856,1306227491,1326207283,1487819546,1487920724,1497280028,1508910787,1588846380,1801207634]
				}]
			},{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 666.00,
					"npi": [1033642574]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "953777340"
			},
			"service_code": ["22"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 349.05,
				"providers":[{
					"billed_charge": 537.00,
					"npi": [1003278086,1982793907]
				}]
			}]
		}]
	},{
		"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": "200525526"
			},
			"service_code": ["21"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 325.00,
					"npi": [1891004305]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "204770445"
			},
			"service_code": ["21"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 144.46,
				"providers":[{
					"billed_charge": 284.74,
					"npi": [1639152044]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "262727387"
			},
			"service_code": ["21"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 180.57,
				"billing_code_modifier": ["24"],
				"providers":[{
					"billed_charge": 474.00,
					"npi": [1225393176]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "330073515"
			},
			"service_code": ["21"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 156.92,
				"billing_code_modifier": ["AI"],
				"providers":[{
					"billed_charge": 265.00,
					"npi": [1972686632]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "392713581"
			},
			"service_code": ["21"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 156.19,
				"providers":[{
					"billed_charge": 331.98,
					"npi": [1326457904]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "452533286"
			},
			"service_code": ["21"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 150.48,
				"providers":[{
					"billed_charge": 424.00,
					"npi": [1922023720]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "611677183"
			},
			"service_code": ["23"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 144.46,
				"billing_code_modifier": ["57"],
				"providers":[{
					"billed_charge": 354.35,
					"npi": [1225091440]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "812599534"
			},
			"service_code": ["21"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 154.86,
				"providers":[{
					"billed_charge": 350.00,
					"npi": [1407997406]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "863816581"
			},
			"service_code": ["21"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 150.48,
				"billing_code_modifier": ["57"],
				"providers":[{
					"billed_charge": 390.00,
					"npi": [1992747059]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "870737748"
			},
			"service_code": ["21"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 120.38,
				"providers":[{
					"billed_charge": 354.35,
					"npi": [1356375653]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "870737749"
			},
			"service_code": ["21"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 120.38,
				"providers":[{
					"billed_charge": 354.35,
					"npi": [1528588134]
				}]
			},{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 354.35,
					"npi": [1740577535]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "884214148"
			},
			"service_code": ["21"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 325.00,
					"npi": [1417619818]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "951684089"
			},
			"service_code": ["22"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 1676.53,
				"billing_code_modifier": ["25"],
				"providers":[{
					"billed_charge": 11975.22,
					"npi": [1841233780]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "951684089"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 12481.16,
				"billing_code_modifier": ["25"],
				"providers":[{
					"billed_charge": 24962.31,
					"npi": [1841277704]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "951691313"
			},
			"service_code": ["21"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 192.61,
				"providers":[{
					"billed_charge": 460.00,
					"npi": [1548521511]
				}]
			},{
				"allowed_amount": 196.22,
				"providers":[{
					"billed_charge": 460.00,
					"npi": [1922179688]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "952818055"
			},
			"service_code": ["21"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 278.00,
					"npi": [1639551435]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "952848091"
			},
			"service_code": ["21"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 120.38,
				"providers":[{
					"billed_charge": 266.00,
					"npi": [1194354944]
				}]
			}]
		}]
	},{
		"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": "200738262"
			},
			"service_code": ["21"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 193.72,
				"providers":[{
					"billed_charge": 484.00,
					"npi": [1073192860,1740817360]
				}]
			}]
		},{
			"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": "204770445"
			},
			"service_code": ["21"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 193.72,
				"providers":[{
					"billed_charge": 421.60,
					"npi": [1003879438,1154909687,1518904143]
				}]
			},{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 421.60,
					"npi": [1134164569]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "208633770"
			},
			"service_code": ["21"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 207.68,
				"providers":[{
					"billed_charge": 600.00,
					"npi": [1891004305]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "237064656"
			},
			"service_code": ["21"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 32.29,
				"providers":[{
					"billed_charge": 793.00,
					"npi": [1023301991]
				}]
			},{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 793.00,
					"npi": [1023301991]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "263575816"
			},
			"service_code": ["21"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 161.43,
				"providers":[{
					"billed_charge": 300.00,
					"npi": [1992816532]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "271766854"
			},
			"service_code": ["21"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 201.79,
				"providers":[{
					"billed_charge": 533.40,
					"npi": [1134112626]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "274002793"
			},
			"service_code": ["21"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 161.43,
				"billing_code_modifier": ["25"],
				"providers":[{
					"billed_charge": 775.00,
					"npi": [1548606668]
				}]
			},{
				"allowed_amount": 161.43,
				"providers":[{
					"billed_charge": 775.00,
					"npi": [1396905576]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "330028122"
			},
			"service_code": ["21"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 201.79,
				"providers":[{
					"billed_charge": 530.00,
					"npi": [1194889410]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "330618203"
			},
			"service_code": ["21"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 161.43,
				"billing_code_modifier": ["57"],
				"providers":[{
					"billed_charge": 525.00,
					"npi": [1043369416]
				}]
			},{
				"allowed_amount": 161.43,
				"providers":[{
					"billed_charge": 405.00,
					"npi": [1043299100]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "452533286"
			},
			"service_code": ["21"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 201.79,
				"providers":[{
					"billed_charge": 628.00,
					"npi": [1922023720]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "461133025"
			},
			"service_code": ["21"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 522.00,
					"npi": [1316196397]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "462748817"
			},
			"service_code": ["21"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 201.79,
				"providers":[{
					"billed_charge": 1661.67,
					"npi": [1285253237]
				}]
			},{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 1661.67,
					"npi": [1104452226]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "463588849"
			},
			"service_code": ["21"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 592.00,
					"npi": [1740892686]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "471120051"
			},
			"service_code": ["21"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 201.79,
				"providers":[{
					"billed_charge": 887.00,
					"npi": [1306045471]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "471989179"
			},
			"service_code": ["21"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 350.00,
				"providers":[{
					"billed_charge": 350.00,
					"npi": [1477751667]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "504769715"
			},
			"service_code": ["22"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 201.79,
				"providers":[{
					"billed_charge": 419.00,
					"npi": [1114048741]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "562355726"
			},
			"service_code": ["21"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 161.43,
				"billing_code_modifier": ["57"],
				"providers":[{
					"billed_charge": 784.00,
					"npi": [1811054604]
				}]
			},{
				"allowed_amount": 161.43,
				"providers":[{
					"billed_charge": 784.00,
					"npi": [1811054604]
				}]
			}]
		},{
			"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": [1275876294]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "814463656"
			},
			"service_code": ["22"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 201.79,
				"providers":[{
					"billed_charge": 1276.00,
					"npi": [1073581914,1093749665,1114196862,1609829142,1821166992]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "824341964"
			},
			"service_code": ["21"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 161.43,
				"providers":[{
					"billed_charge": 237.00,
					"npi": [1972517910]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "851202660"
			},
			"service_code": ["61"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 161.43,
				"billing_code_modifier": ["25"],
				"providers":[{
					"billed_charge": 428.00,
					"npi": [1629500608]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "854085199"
			},
			"service_code": ["21"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"billing_code_modifier": ["57"],
				"providers":[{
					"billed_charge": 540.00,
					"npi": [1396185161]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "863710177"
			},
			"service_code": ["21"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 418.50,
				"providers":[{
					"billed_charge": 837.00,
					"npi": [1407036502]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "863816581"
			},
			"service_code": ["21"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 201.79,
				"billing_code_modifier": ["57"],
				"providers":[{
					"billed_charge": 545.00,
					"npi": [1962815100]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "870737748"
			},
			"service_code": ["22"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 161.43,
				"providers":[{
					"billed_charge": 520.43,
					"npi": [1700204294]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "870737749"
			},
			"service_code": ["23"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 161.43,
				"providers":[{
					"billed_charge": 520.43,
					"npi": [1912427873]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "880550253"
			},
			"service_code": ["52"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 420.00,
					"npi": [1700083391]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "900950252"
			},
			"service_code": ["22"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 201.79,
				"providers":[{
					"billed_charge": 928.00,
					"npi": [1891242442]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "951691313"
			},
			"service_code": ["21"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 263.13,
				"providers":[{
					"billed_charge": 613.00,
					"npi": [1962964999]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "952321786"
			},
			"service_code": ["21"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 597.00,
					"npi": [1700058526]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "954457756"
			},
			"service_code": ["21"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 210.30,
				"providers":[{
					"billed_charge": 630.00,
					"npi": [1588125231]
				}]
			}]
		}]
	},{
		"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": "200525526"
			},
			"service_code": ["21"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 210.00,
					"npi": [1891004305]
				}]
			}]
		},{
			"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": "204770445"
			},
			"service_code": ["21"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 87.42,
				"providers":[{
					"billed_charge": 151.64,
					"npi": [1518904143]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "237064656"
			},
			"service_code": ["21"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 12.38,
				"providers":[{
					"billed_charge": 325.00,
					"npi": [1639571292]
				}]
			},{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 325.00,
					"npi": [1639571292]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "237064656"
			},
			"service_code": ["21"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 14.57,
				"providers":[{
					"billed_charge": 325.00,
					"npi": [1023301991]
				}]
			},{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 325.00,
					"npi": [1023301991]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "262727387"
			},
			"service_code": ["21"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 109.28,
				"billing_code_modifier": ["24"],
				"providers":[{
					"billed_charge": 264.00,
					"npi": [1225393176]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "274002793"
			},
			"service_code": ["21"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 72.85,
				"providers":[{
					"billed_charge": 355.00,
					"npi": [1275527657,1396905576]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "330028122"
			},
			"service_code": ["21"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 91.06,
				"providers":[{
					"billed_charge": 240.00,
					"npi": [1215018403]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "330073515"
			},
			"service_code": ["21"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 94.71,
				"providers":[{
					"billed_charge": 150.00,
					"npi": [1083903124]
				}]
			},{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 150.00,
					"npi": [1083903124]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "330618203"
			},
			"service_code": ["21"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 72.85,
				"providers":[{
					"billed_charge": 190.00,
					"npi": [1043299100]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "463588849"
			},
			"service_code": ["21"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"billing_code_modifier": ["57"],
				"providers":[{
					"billed_charge": 212.00,
					"npi": [1740892686]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "471989179"
			},
			"service_code": ["21"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 150.00,
				"providers":[{
					"billed_charge": 150.00,
					"npi": [1477751667]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "562355726"
			},
			"service_code": ["21"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 72.85,
				"providers":[{
					"billed_charge": 282.00,
					"npi": [1811054604]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "611677183"
			},
			"service_code": ["22"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 87.42,
				"providers":[{
					"billed_charge": 187.28,
					"npi": [1366684045]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "812599534"
			},
			"service_code": ["21"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 93.72,
				"billing_code_modifier": ["25"],
				"providers":[{
					"billed_charge": 190.00,
					"npi": [1407997406]
				}]
			},{
				"allowed_amount": 93.72,
				"providers":[{
					"billed_charge": 190.00,
					"npi": [1407997406]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "851202660"
			},
			"service_code": ["61"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 72.85,
				"providers":[{
					"billed_charge": 154.00,
					"npi": [1629500608]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "863710177"
			},
			"service_code": ["21"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 150.00,
				"providers":[{
					"billed_charge": 300.00,
					"npi": [1407036502]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "870737748"
			},
			"service_code": ["21", "22"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 72.85,
				"providers":[{
					"billed_charge": 187.28,
					"npi": [1053336339,1902337801]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "880550253"
			},
			"service_code": ["52"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 210.00,
					"npi": [1700083391]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "884214148"
			},
			"service_code": ["21"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 210.00,
					"npi": [1417619818]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "951691313"
			},
			"service_code": ["21"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 116.56,
				"providers":[{
					"billed_charge": 280.00,
					"npi": [1548521511]
				}]
			},{
				"allowed_amount": 0.00,
				"billing_code_modifier": ["GC", "25"],
				"providers":[{
					"billed_charge": 280.00,
					"npi": [1164747127]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "952848091"
			},
			"service_code": ["21"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 72.85,
				"providers":[{
					"billed_charge": 161.00,
					"npi": [1194354944]
				}]
			}]
		}]
	},{
		"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": "200738262"
			},
			"service_code": ["21"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 132.71,
				"providers":[{
					"billed_charge": 332.00,
					"npi": [1073192860,1811381064]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "203984069"
			},
			"service_code": ["21"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 277.60,
				"providers":[{
					"billed_charge": 347.00,
					"npi": [1518979228]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "204770445"
			},
			"service_code": ["21"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 132.71,
				"providers":[{
					"billed_charge": 216.78,
					"npi": [1063447811,1356501902,1386605087,1518904143]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "208633770"
			},
			"service_code": ["21"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 142.28,
				"providers":[{
					"billed_charge": 400.00,
					"npi": [1891004305]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "237064656"
			},
			"service_code": ["21"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 22.12,
				"billing_code_modifier": ["FS"],
				"providers":[{
					"billed_charge": 411.00,
					"npi": [1346515442]
				}]
			},{
				"allowed_amount": 0.00,
				"billing_code_modifier": ["FS"],
				"providers":[{
					"billed_charge": 411.00,
					"npi": [1346515442]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "237064656"
			},
			"service_code": ["21"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 22.23,
				"providers":[{
					"billed_charge": 411.00,
					"npi": [1477717585]
				}]
			},{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 411.00,
					"npi": [1477717585]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "330073515"
			},
			"service_code": ["21"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 144.01,
				"providers":[{
					"billed_charge": 210.00,
					"npi": [1083903124]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "330428845"
			},
			"service_code": ["21"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 584.80,
				"billing_code_modifier": ["57"],
				"providers":[{
					"billed_charge": 731.00,
					"npi": [1659395671]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "330610185"
			},
			"service_code": ["21"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 132.71,
				"providers":[{
					"billed_charge": 375.00,
					"npi": [1013322056,1023317286,1164404901,1538521422]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "462748817"
			},
			"service_code": ["21"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 138.24,
				"providers":[{
					"billed_charge": 1081.67,
					"npi": [1053754366]
				}]
			},{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 1081.67,
					"npi": [1265874135]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "463588849"
			},
			"service_code": ["21"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"billing_code_modifier": ["57"],
				"providers":[{
					"billed_charge": 304.00,
					"npi": [1740892686]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "471120051"
			},
			"service_code": ["21"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 138.24,
				"providers":[{
					"billed_charge": 347.00,
					"npi": [1306045471]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "611677183"
			},
			"service_code": ["21"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 132.71,
				"billing_code_modifier": ["25"],
				"providers":[{
					"billed_charge": 269.23,
					"npi": [1700080975]
				}]
			},{
				"allowed_amount": 132.71,
				"billing_code_modifier": ["GC"],
				"providers":[{
					"billed_charge": 269.23,
					"npi": [1275876294]
				}]
			},{
				"allowed_amount": 132.71,
				"providers":[{
					"billed_charge": 269.23,
					"npi": [1700080975]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "814463656"
			},
			"service_code": ["22"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 138.24,
				"providers":[{
					"billed_charge": 875.00,
					"npi": [1093749665,1609829142]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "824341964"
			},
			"service_code": ["22"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 110.59,
				"providers":[{
					"billed_charge": 125.00,
					"npi": [1972517910]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "851202660"
			},
			"service_code": ["61"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 110.59,
				"providers":[{
					"billed_charge": 221.00,
					"npi": [1629500608]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "851570620"
			},
			"service_code": ["21"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 138.24,
				"providers":[{
					"billed_charge": 1500.00,
					"npi": [1093959108]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "872980478"
			},
			"service_code": ["21"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 110.59,
				"providers":[{
					"billed_charge": 347.00,
					"npi": [1700270287]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "880550253"
			},
			"service_code": ["52"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 285.00,
					"npi": [1700083391]
				}]
			}]
		}]
	},{
		"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": "200738262"
			},
			"service_code": ["22"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 94.25,
				"providers":[{
					"billed_charge": 238.00,
					"npi": [1699424234]
				}]
			}]
		},{
			"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": "330662258"
			},
			"service_code": ["21"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 70.69,
				"providers":[{
					"billed_charge": 230.00,
					"npi": [1346572807,1417928417,1518228188,1730446527]
				}]
			},{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 230.00,
					"npi": [1346572807]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "870737748"
			},
			"service_code": ["21"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 78.54,
				"providers":[{
					"billed_charge": 190.93,
					"npi": [1053336339,1083766752,1144391905,1528718491,1902337801]
				}]
			},{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 190.93,
					"npi": [1902337801,1982024188]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "870737749"
			},
			"service_code": ["21"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 78.54,
				"providers":[{
					"billed_charge": 190.93,
					"npi": [1154683043]
				}]
			},{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 190.93,
					"npi": [1649219395,1790748481]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "884214148"
			},
			"service_code": ["21"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 150.00,
					"npi": [1568062552]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "900950252"
			},
			"service_code": ["22"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 98.18,
				"providers":[{
					"billed_charge": 430.00,
					"npi": [1326252156]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "951691313"
			},
			"service_code": ["21"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 128.02,
				"providers":[{
					"billed_charge": 291.00,
					"npi": [1033286430,1467847293]
				}]
			},{
				"allowed_amount": 0.00,
				"billing_code_modifier": ["GC"],
				"providers":[{
					"billed_charge": 291.00,
					"npi": [1164747127]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "953661170"
			},
			"service_code": ["21"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 98.18,
				"providers":[{
					"billed_charge": 230.00,
					"npi": [1912193301]
				}]
			}]
		}]
	},{
		"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": ["21"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 134.42,
				"providers":[{
					"billed_charge": 336.00,
					"npi": [1326601485,1811381064]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "204770445"
			},
			"service_code": ["21"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 134.42,
				"providers":[{
					"billed_charge": 225.46,
					"npi": [1063447811,1386605087,1518904143]
				}]
			},{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 225.46,
					"npi": [1134182744,1639152044]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "208633770"
			},
			"service_code": ["21"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 144.11,
				"providers":[{
					"billed_charge": 500.00,
					"npi": [1891004305]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "330073515"
			},
			"service_code": ["21"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 145.47,
				"providers":[{
					"billed_charge": 210.00,
					"npi": [1083903124]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "330662258"
			},
			"service_code": ["21"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 335.00,
					"npi": [1730446527]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "462748817"
			},
			"service_code": ["21"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 140.03,
				"providers":[{
					"billed_charge": 940.36,
					"npi": [1053754366]
				}]
			},{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 940.36,
					"npi": [1760997936]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "611677183"
			},
			"service_code": ["21", "22"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 134.42,
				"providers":[{
					"billed_charge": 279.28,
					"npi": [1275876294,1366684045]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "814463656"
			},
			"service_code": ["22"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 140.03,
				"providers":[{
					"billed_charge": 849.00,
					"npi": [1114196862,1609829142]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "821550793"
			},
			"service_code": ["21"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 145.47,
				"billing_code_modifier": ["FS"],
				"providers":[{
					"billed_charge": 500.00,
					"npi": [1588955694]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "851202660"
			},
			"service_code": ["61"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 112.02,
				"providers":[{
					"billed_charge": 229.00,
					"npi": [1629500608]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "870737749"
			},
			"service_code": ["21"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 112.02,
				"providers":[{
					"billed_charge": 279.28,
					"npi": [1528170552,1528588134]
				}]
			},{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 279.28,
					"npi": [1528170552]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "951691313"
			},
			"service_code": ["21"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 179.23,
				"billing_code_modifier": ["GC"],
				"providers":[{
					"billed_charge": 411.00,
					"npi": [1720423288]
				}]
			},{
				"allowed_amount": 179.23,
				"providers":[{
					"billed_charge": 411.00,
					"npi": [1548521511]
				}]
			},{
				"allowed_amount": 182.59,
				"providers":[{
					"billed_charge": 411.00,
					"npi": [1003028416,1164572632,1417121971,1770841140,1871813105]
				}]
			}]
		}]
	},{
		"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": 65.81,
				"billing_code_modifier": ["25"],
				"providers":[{
					"billed_charge": 492.00,
					"npi": [1932100062]
				}]
			},{
				"allowed_amount": 129.72,
				"providers":[{
					"billed_charge": 492.00,
					"npi": [1669403911]
				}]
			},{
				"allowed_amount": 131.63,
				"providers":[{
					"billed_charge": 492.00,
					"npi": [1326138892,1578591517]
				}]
			},{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 492.00,
					"npi": [1578591517]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "203639329"
			},
			"service_code": ["23"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 125.73,
				"billing_code_modifier": ["25"],
				"providers":[{
					"billed_charge": 143.00,
					"npi": [1649228966]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "233059262"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 587.23,
				"providers":[{
					"billed_charge": 3677.00,
					"npi": [1245221050]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "237064656"
			},
			"service_code": ["23"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 76.84,
				"providers":[{
					"billed_charge": 239.00,
					"npi": [1871099333]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "320595156"
			},
			"service_code": ["23"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 83.82,
				"billing_code_modifier": ["25"],
				"providers":[{
					"billed_charge": 197.00,
					"npi": [1083293443]
				}]
			},{
				"allowed_amount": 83.82,
				"billing_code_modifier": ["57"],
				"providers":[{
					"billed_charge": 197.00,
					"npi": [1740067396]
				}]
			},{
				"allowed_amount": 83.82,
				"providers":[{
					"billed_charge": 197.00,
					"npi": [1306034467,1477085785,1609175173]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "330294751"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 576.28,
				"providers":[{
					"billed_charge": 992.56,
					"npi": [1073553756]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "330449527"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 612.75,
				"providers":[{
					"billed_charge": 4085.00,
					"npi": [1528041811]
				}]
			},{
				"allowed_amount": 3472.25,
				"billing_code_modifier": ["25"],
				"providers":[{
					"billed_charge": 4085.00,
					"npi": [1528041811]
				}]
			},{
				"allowed_amount": 3472.25,
				"providers":[{
					"billed_charge": 4085.00,
					"npi": [1528041811]
				}]
			},{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 4085.00,
					"npi": [1528041811]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "371705906"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 587.23,
				"billing_code_modifier": ["25"],
				"providers":[{
					"billed_charge": 3074.00,
					"npi": [1588908388]
				}]
			},{
				"allowed_amount": 587.23,
				"providers":[{
					"billed_charge": 3074.00,
					"npi": [1588908388]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "461246570"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 587.23,
				"providers":[{
					"billed_charge": 3896.00,
					"npi": [1679816201]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "462690851"
			},
			"service_code": ["23"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 64.86,
				"billing_code_modifier": ["25"],
				"providers":[{
					"billed_charge": 515.00,
					"npi": [1952668931]
				}]
			},{
				"allowed_amount": 129.72,
				"providers":[{
					"billed_charge": 515.00,
					"npi": [1679927859]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "473550779"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 587.23,
				"providers":[{
					"billed_charge": 2630.00,
					"npi": [1851787295]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "591713947"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 804.51,
				"billing_code_modifier": ["25"],
				"providers":[{
					"billed_charge": 880.00,
					"npi": [1225033020]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "660573658"
			},
			"service_code": ["23"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 125.73,
				"providers":[{
					"billed_charge": 206.00,
					"npi": [1740227313]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "721561132"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 434.79,
				"providers":[{
					"billed_charge": 1573.00,
					"npi": [1700910189]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "811641281"
			},
			"service_code": ["23"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 129.72,
				"providers":[{
					"billed_charge": 478.00,
					"npi": [1063807048]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "840405257"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 374.35,
				"billing_code_modifier": ["25"],
				"providers":[{
					"billed_charge": 3864.17,
					"npi": [1295431765]
				}]
			},{
				"allowed_amount": 812.68,
				"billing_code_modifier": ["25"],
				"providers":[{
					"billed_charge": 3864.17,
					"npi": [1932112125]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "863816581"
			},
			"service_code": ["23"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 65.81,
				"billing_code_modifier": ["25"],
				"providers":[{
					"billed_charge": 225.00,
					"npi": [1174553697]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "876000525"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 1788.60,
				"providers":[{
					"billed_charge": 1788.60,
					"npi": [1588656870]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "900950252"
			},
			"service_code": ["23"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 64.86,
				"billing_code_modifier": ["25"],
				"providers":[{
					"billed_charge": 411.00,
					"npi": [1063644193,1518992668]
				}]
			},{
				"allowed_amount": 65.81,
				"billing_code_modifier": ["25"],
				"providers":[{
					"billed_charge": 411.00,
					"npi": [1518992668,1619293495,1891242442]
				}]
			},{
				"allowed_amount": 131.63,
				"providers":[{
					"billed_charge": 411.00,
					"npi": [1255301602,1295174761,1447511894,1508248535,1578910840,1891242442]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "941105628"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 660.58,
				"billing_code_modifier": ["25"],
				"providers":[{
					"billed_charge": 2323.00,
					"npi": [1558080861]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "951643327"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 581.49,
				"billing_code_modifier": ["25"],
				"providers":[{
					"billed_charge": 1960.64,
					"npi": [1518951300]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "951684089"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 1207.39,
				"providers":[{
					"billed_charge": 2414.77,
					"npi": [ ]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "951691313"
			},
			"service_code": ["23"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 111.76,
				"providers":[{
					"billed_charge": 244.00,
					"npi": [1225393499,1649413071,1952835357]
				}]
			},{
				"allowed_amount": 113.86,
				"billing_code_modifier": ["25"],
				"providers":[{
					"billed_charge": 244.00,
					"npi": [1194896852,1952835357]
				}]
			},{
				"allowed_amount": 113.86,
				"billing_code_modifier": ["GC"],
				"providers":[{
					"billed_charge": 244.00,
					"npi": [1225393499,1326225368,1730428053,1932318565,1972169845]
				}]
			},{
				"allowed_amount": 113.86,
				"providers":[{
					"billed_charge": 244.00,
					"npi": [1134416282,1194896852,1215322748,1215375183,1265867683,1366612848,1366761959,1417496985,1427442086,1457988537,1528483955,1538147145,1609132034,1609371293,1679035661,1710321278,1740468057,1831695337,1932736691,1962080580,1962558312,1972169845]
				}]
			}]
		},{
			"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": ["23"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 128.48,
				"providers":[{
					"billed_charge": 366.00,
					"npi": [1962444059]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "953154530"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 576.28,
				"billing_code_modifier": ["25"],
				"providers":[{
					"billed_charge": 597.00,
					"npi": [1962444059]
				}]
			},{
				"allowed_amount": 0.00,
				"billing_code_modifier": ["25"],
				"providers":[{
					"billed_charge": 597.00,
					"npi": [1962444059]
				}]
			}]
		},{
			"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": 558.99,
				"billing_code_modifier": ["25"],
				"providers":[{
					"billed_charge": 3071.46,
					"npi": [1376513754]
				}]
			}]
		}]
	},{
		"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": 111.72,
				"billing_code_modifier": ["25"],
				"providers":[{
					"billed_charge": 837.00,
					"npi": [1962439505]
				}]
			},{
				"allowed_amount": 213.44,
				"providers":[{
					"billed_charge": 837.00,
					"npi": [1669403911]
				}]
			},{
				"allowed_amount": 220.21,
				"providers":[{
					"billed_charge": 837.00,
					"npi": [1033372453,1174865349,1326076290,1326138892,1356091383,1538780127,1538780432,1578591517,1669714523,1710916283,1881622702,1932100062,1962430231,1962439505]
				}]
			},{
				"allowed_amount": 223.44,
				"billing_code_modifier": ["25"],
				"providers":[{
					"billed_charge": 837.00,
					"npi": [1881622702,1932100062,1962439505]
				}]
			},{
				"allowed_amount": 223.44,
				"providers":[{
					"billed_charge": 837.00,
					"npi": [1326076290,1376571505,1447756259,1538780127,1538780432,1578591517,1710916283,1801425244,1932100062,1962430231,1962439505,1972531838]
				}]
			},{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 837.00,
					"npi": [1538780127,1962439505]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "233059262"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 895.10,
				"billing_code_modifier": ["25"],
				"providers":[{
					"billed_charge": 7531.00,
					"npi": [1245221050]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "237064656"
			},
			"service_code": ["23"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 130.44,
				"providers":[{
					"billed_charge": 472.00,
					"npi": [1053702746,1205079522]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "251778644"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 542.48,
				"billing_code_modifier": ["25"],
				"providers":[{
					"billed_charge": 2200.00,
					"npi": [1407813603]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "251857035"
			},
			"service_code": ["23"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 213.44,
				"billing_code_modifier": ["FS"],
				"providers":[{
					"billed_charge": 347.00,
					"npi": [1255482089]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "261869104"
			},
			"service_code": ["23"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 280.00,
				"providers":[{
					"billed_charge": 400.00,
					"npi": [1740172279]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "320595156"
			},
			"service_code": ["23"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 373.00,
					"npi": [1083293443,1821012063]
				}]
			},{
				"allowed_amount": 142.30,
				"billing_code_modifier": ["25"],
				"providers":[{
					"billed_charge": 373.00,
					"npi": [1609175173]
				}]
			},{
				"allowed_amount": 142.30,
				"providers":[{
					"billed_charge": 373.00,
					"npi": [1083293443,1265402648,1275053712,1306034467,1306982319,1740067396,1750969614,1770254195,1851898571]
				}]
			}]
		},{
			"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": "330528802"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 886.37,
				"billing_code_modifier": ["25"],
				"providers":[{
					"billed_charge": 6827.00,
					"npi": [1699868398]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "330729128"
			},
			"service_code": ["23"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 227.66,
				"providers":[{
					"billed_charge": 1008.35,
					"npi": [1275829665]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "371759104"
			},
			"service_code": ["23"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 224.49,
				"providers":[{
					"billed_charge": 749.00,
					"npi": [1720650781]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "461246570"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 0.00,
				"billing_code_modifier": ["25"],
				"providers":[{
					"billed_charge": 8025.00,
					"npi": [1679816201]
				}]
			},{
				"allowed_amount": 895.10,
				"billing_code_modifier": ["25"],
				"providers":[{
					"billed_charge": 8025.00,
					"npi": [1679816201]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "462690851"
			},
			"service_code": ["23"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 110.11,
				"billing_code_modifier": ["25"],
				"providers":[{
					"billed_charge": 868.00,
					"npi": [1326072984,1700870912]
				}]
			},{
				"allowed_amount": 111.72,
				"billing_code_modifier": ["25"],
				"providers":[{
					"billed_charge": 868.00,
					"npi": [1366486243]
				}]
			},{
				"allowed_amount": 220.21,
				"providers":[{
					"billed_charge": 868.00,
					"npi": [1114196862,1164614012,1326072984]
				}]
			},{
				"allowed_amount": 223.44,
				"providers":[{
					"billed_charge": 868.00,
					"npi": [1043259310,1073581914,1114196862,1174835359,1265460893,1316039977,1326072984,1366486243,1770534067,1952668931]
				}]
			},{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 868.00,
					"npi": [1265460893]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "463490058"
			},
			"service_code": ["23"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 225.39,
				"billing_code_modifier": ["25"],
				"providers":[{
					"billed_charge": 1129.57,
					"npi": [1902487440]
				}]
			},{
				"allowed_amount": 225.39,
				"providers":[{
					"billed_charge": 1129.57,
					"npi": [1013593839,1144703406,1407281223]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "464467849"
			},
			"service_code": ["23"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 213.44,
				"providers":[{
					"billed_charge": 828.00,
					"npi": [1013317163]
				}]
			},{
				"allowed_amount": 220.21,
				"providers":[{
					"billed_charge": 828.00,
					"npi": [1558578955,1649692716]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "471497384"
			},
			"service_code": ["23"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 417.00,
				"providers":[{
					"billed_charge": 417.00,
					"npi": [1144677931]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "770062466"
			},
			"service_code": ["23"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 213.44,
				"providers":[{
					"billed_charge": 1061.00,
					"npi": [1972535557]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "811366784"
			},
			"service_code": ["23"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 213.44,
				"billing_code_modifier": ["57"],
				"providers":[{
					"billed_charge": 517.16,
					"npi": [1841654407]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "811641281"
			},
			"service_code": ["23"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 223.44,
				"providers":[{
					"billed_charge": 902.00,
					"npi": [1588260780]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "841099826"
			},
			"service_code": ["23"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 118.58,
				"providers":[{
					"billed_charge": 1064.96,
					"npi": [1851690416]
				}]
			},{
				"allowed_amount": 1064.96,
				"providers":[{
					"billed_charge": 1064.96,
					"npi": [1518175223]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "860137567"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 1278.90,
				"billing_code_modifier": ["25"],
				"providers":[{
					"billed_charge": 1827.00,
					"npi": [1174512792]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "861057582"
			},
			"service_code": ["23"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 213.44,
				"billing_code_modifier": ["GC"],
				"providers":[{
					"billed_charge": 319.00,
					"npi": [1487693404]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "871451688"
			},
			"service_code": ["23"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 220.21,
				"providers":[{
					"billed_charge": 1129.57,
					"npi": [1124413869]
				}]
			},{
				"allowed_amount": 223.44,
				"providers":[{
					"billed_charge": 1129.57,
					"npi": [1124698139]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "873202637"
			},
			"service_code": ["23"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 2000.00,
				"providers":[{
					"billed_charge": 2000.00,
					"npi": [1821752213]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "876000525"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 0.00,
				"billing_code_modifier": ["25"],
				"providers":[{
					"billed_charge": 3219.50,
					"npi": [1588656870]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "900950252"
			},
			"service_code": ["23"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 220.21,
				"providers":[{
					"billed_charge": 613.00,
					"npi": [1295174761,1326252156,1376833038,1447511894,1578910840,1619293495,1639794134,1750585535,1770578411,1952454449]
				}]
			},{
				"allowed_amount": 223.44,
				"providers":[{
					"billed_charge": 613.00,
					"npi": [1093745812,1255301602,1275572372,1326138892,1326371055,1376757732,1447511894,1508248535,1750585535,1770578411,1811436413,1952454449]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "921846432"
			},
			"service_code": ["23"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 220.21,
				"billing_code_modifier": ["25"],
				"providers":[{
					"billed_charge": 852.00,
					"npi": [1851928386]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "934387494"
			},
			"service_code": ["23"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 227.66,
				"providers":[{
					"billed_charge": 1055.00,
					"npi": [1083848949,1912771569]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "941105628"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 895.10,
				"billing_code_modifier": ["25"],
				"providers":[{
					"billed_charge": 3756.00,
					"npi": [1013062769]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "942494000"
			},
			"service_code": ["23"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 223.44,
				"providers":[{
					"billed_charge": 962.00,
					"npi": [1770595910]
				}]
			},{
				"allowed_amount": 225.39,
				"providers":[{
					"billed_charge": 962.00,
					"npi": [1003313453]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "950651579"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 4629.95,
				"billing_code_modifier": ["25"],
				"providers":[{
					"billed_charge": 5447.00,
					"npi": [1154304475]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "951643360"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 886.37,
				"billing_code_modifier": ["25"],
				"providers":[{
					"billed_charge": 5123.00,
					"npi": [1992752315]
				}]
			}]
		},{
			"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": 189.73,
				"billing_code_modifier": ["GC"],
				"providers":[{
					"billed_charge": 415.00,
					"npi": [1285070169,1326301862]
				}]
			},{
				"allowed_amount": 189.73,
				"providers":[{
					"billed_charge": 415.00,
					"npi": [1366612848,1861888471,1942325113]
				}]
			},{
				"allowed_amount": 193.29,
				"billing_code_modifier": ["25"],
				"providers":[{
					"billed_charge": 415.00,
					"npi": [1265799803,1679035661,1710418744,1861888471]
				}]
			},{
				"allowed_amount": 193.29,
				"billing_code_modifier": ["GC"],
				"providers":[{
					"billed_charge": 415.00,
					"npi": [1215103023,1225393499,1326301862,1528483955,1649413071,1669932018,1932318565,1972169845]
				}]
			},{
				"allowed_amount": 193.29,
				"billing_code_modifier": ["FS"],
				"providers":[{
					"billed_charge": 415.00,
					"npi": [1326225368]
				}]
			},{
				"allowed_amount": 193.29,
				"providers":[{
					"billed_charge": 415.00,
					"npi": [1073740205,1194896852,1205178712,1225393499,1336503234,1366761959,1427442086,1578967907,1609371293,1649355397,1679035661,1730428053,1740468057,1972169845]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "951750445"
			},
			"service_code": ["23"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 110.11,
				"billing_code_modifier": ["25"],
				"providers":[{
					"billed_charge": 725.00,
					"npi": [1033250543]
				}]
			},{
				"allowed_amount": 223.44,
				"providers":[{
					"billed_charge": 725.00,
					"npi": [1033250543,1184327991]
				}]
			},{
				"allowed_amount": 227.66,
				"providers":[{
					"billed_charge": 725.00,
					"npi": [1952333460]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "951934652"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 5223.73,
				"billing_code_modifier": ["25"],
				"providers":[{
					"billed_charge": 2513.00,
					"npi": [1043215379]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "952126937"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 2070.00,
				"providers":[{
					"billed_charge": 4140.00,
					"npi": [1801861190]
				}]
			}]
		},{
			"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": 4629.95,
				"providers":[{
					"billed_charge": 5447.00,
					"npi": [1396728630]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "952588614"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 895.10,
				"billing_code_modifier": ["25"],
				"providers":[{
					"billed_charge": 10926.00,
					"npi": [1639101116]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "953056292"
			},
			"service_code": ["23"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 213.44,
				"billing_code_modifier": ["GC"],
				"providers":[{
					"billed_charge": 992.00,
					"npi": [1336526920]
				}]
			}]
		},{
			"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": [1093860645,1962444059]
				}]
			},{
				"allowed_amount": 218.24,
				"providers":[{
					"billed_charge": 616.00,
					"npi": [1558371229]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "953154530"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 878.42,
				"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]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "954615787"
			},
			"service_code": ["23"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 224.37,
				"providers":[{
					"billed_charge": 709.00,
					"npi": [1225590201]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "956003843"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 854.46,
				"billing_code_modifier": ["25"],
				"providers":[{
					"billed_charge": 5853.08,
					"npi": [1376513754,1457321317]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "990970557"
			},
			"service_code": ["23"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 225.39,
				"billing_code_modifier": ["U7"],
				"providers":[{
					"billed_charge": 932.00,
					"npi": [1285646448]
				}]
			},{
				"allowed_amount": 225.39,
				"providers":[{
					"billed_charge": 932.00,
					"npi": [1902911886]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "991581927"
			},
			"service_code": ["23"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 225.39,
				"providers":[{
					"billed_charge": 1458.00,
					"npi": [1619175759]
				}]
			}]
		}]
	},{
		"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": 159.96,
				"billing_code_modifier": ["25"],
				"providers":[{
					"billed_charge": 1211.00,
					"npi": [1538780127]
				}]
			},{
				"allowed_amount": 162.31,
				"billing_code_modifier": ["25"],
				"providers":[{
					"billed_charge": 1211.00,
					"npi": [1174865349,1972531838]
				}]
			},{
				"allowed_amount": 310.09,
				"providers":[{
					"billed_charge": 1211.00,
					"npi": [1326138892,1831696194]
				}]
			},{
				"allowed_amount": 319.92,
				"providers":[{
					"billed_charge": 1211.00,
					"npi": [1033372453,1144433731,1326076290,1326138892,1356091383,1366903486,1538780127,1578591517,1669403911,1669714523,1710916283,1831696194,1932100062,1962430231,1972531838]
				}]
			},{
				"allowed_amount": 324.62,
				"billing_code_modifier": ["25"],
				"providers":[{
					"billed_charge": 1211.00,
					"npi": [1174865349,1366903486]
				}]
			},{
				"allowed_amount": 324.62,
				"providers":[{
					"billed_charge": 1211.00,
					"npi": [1033372453,1174865349,1326076290,1326138892,1356091383,1366903486,1376571505,1538780127,1669714523,1801425244,1881622702,1932100062,1972531838]
				}]
			},{
				"allowed_amount": 0.00,
				"billing_code_modifier": ["57"],
				"providers":[{
					"billed_charge": 1211.00,
					"npi": [1326138892]
				}]
			},{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 1211.00,
					"npi": [1376571505]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "233059262"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 1281.24,
				"billing_code_modifier": ["25"],
				"providers":[{
					"billed_charge": 8590.00,
					"npi": [1245221050]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "237064656"
			},
			"service_code": ["23"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 684.00,
					"npi": [1366510661]
				}]
			},{
				"allowed_amount": 189.50,
				"providers":[{
					"billed_charge": 684.00,
					"npi": [1275572372]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "320595156"
			},
			"service_code": ["23"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 206.72,
				"providers":[{
					"billed_charge": 548.00,
					"npi": [1083293443,1265402648,1609175173,1669424149]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "330449527"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 5787.65,
				"billing_code_modifier": ["25"],
				"providers":[{
					"billed_charge": 6809.00,
					"npi": [1528041811]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "330729128"
			},
			"service_code": ["23"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 325.76,
				"providers":[{
					"billed_charge": 1488.24,
					"npi": [1073542916]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "381357020"
			},
			"service_code": ["23"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 310.09,
				"providers":[{
					"billed_charge": 590.00,
					"npi": [1972681187]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "432035443"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 1281.24,
				"billing_code_modifier": ["25"],
				"providers":[{
					"billed_charge": 9354.00,
					"npi": [1457347239]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "453023491"
			},
			"service_code": ["23"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 310.09,
				"billing_code_modifier": ["25"],
				"providers":[{
					"billed_charge": 2496.00,
					"npi": [1285651265]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "454989022"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 842.10,
				"billing_code_modifier": ["25"],
				"providers":[{
					"billed_charge": 3691.00,
					"npi": [1801152566]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "455618844"
			},
			"service_code": ["23"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 322.17,
				"providers":[{
					"billed_charge": 1722.27,
					"npi": [1376998849]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "461246570"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 1281.24,
				"billing_code_modifier": ["25"],
				"providers":[{
					"billed_charge": 9060.00,
					"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": [1316039977,1700870912]
				}]
			},{
				"allowed_amount": 213.44,
				"providers":[{
					"billed_charge": 1259.00,
					"npi": [1942230297]
				}]
			},{
				"allowed_amount": 310.09,
				"providers":[{
					"billed_charge": 1259.00,
					"npi": [1326072984]
				}]
			},{
				"allowed_amount": 319.92,
				"billing_code_modifier": ["25"],
				"providers":[{
					"billed_charge": 1259.00,
					"npi": [1114196862,1679927859]
				}]
			},{
				"allowed_amount": 319.92,
				"billing_code_modifier": ["57"],
				"providers":[{
					"billed_charge": 1259.00,
					"npi": [1306932330]
				}]
			},{
				"allowed_amount": 319.92,
				"providers":[{
					"billed_charge": 1259.00,
					"npi": [1043259310,1073581914,1093749665,1114196862,1164614012,1174835359,1184244014,1265460893,1316039977,1326072984,1326276072,1366486243,1679927859,1689834012,1770534067,1942230297,1952668931]
				}]
			},{
				"allowed_amount": 324.62,
				"billing_code_modifier": ["25"],
				"providers":[{
					"billed_charge": 1259.00,
					"npi": [1265460893,1306932330,1316039977]
				}]
			},{
				"allowed_amount": 324.62,
				"providers":[{
					"billed_charge": 1259.00,
					"npi": [1043259310,1073581914,1114196862,1164614012,1174835359,1184244014,1265460893,1306932330,1316039977,1326072984,1326276072,1609829142,1679927859,1689834012,1700870912,1730356460,1770534067,1942230297,1952668931]
				}]
			},{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 1259.00,
					"npi": [1164614012]
				}]
			},{
				"allowed_amount": 1259.00,
				"providers":[{
					"billed_charge": 1259.00,
					"npi": [1306932330]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "463490058"
			},
			"service_code": ["23"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 322.17,
				"providers":[{
					"billed_charge": 1722.27,
					"npi": [1407281223]
				}]
			},{
				"allowed_amount": 326.90,
				"providers":[{
					"billed_charge": 1722.27,
					"npi": [1144703406,1447838156]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "464467849"
			},
			"service_code": ["23"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 310.09,
				"providers":[{
					"billed_charge": 1213.00,
					"npi": [1316168479,1386938397]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "471497384"
			},
			"service_code": ["23"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 310.09,
				"billing_code_modifier": ["57"],
				"providers":[{
					"billed_charge": 647.00,
					"npi": [1174927974]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "474096798"
			},
			"service_code": ["23"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 324.62,
				"providers":[{
					"billed_charge": 1165.00,
					"npi": [1639197726]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "475065726"
			},
			"service_code": ["23"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 350.00,
					"npi": [1316244841]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "720423659"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 723.14,
				"billing_code_modifier": ["25"],
				"providers":[{
					"billed_charge": 3298.00,
					"npi": [1821098286]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "800212487"
			},
			"service_code": ["23"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 330.54,
				"providers":[{
					"billed_charge": 1488.24,
					"npi": [1134355597]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "811641281"
			},
			"service_code": ["23"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 310.09,
				"providers":[{
					"billed_charge": 1329.00,
					"npi": [1326087925]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "843491493"
			},
			"service_code": ["23"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 324.62,
				"providers":[{
					"billed_charge": 709.00,
					"npi": [1205456688,1417586801]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "863816581"
			},
			"service_code": ["23"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 505.00,
					"npi": [1316244841]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "871451688"
			},
			"service_code": ["23"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 319.92,
				"billing_code_modifier": ["25"],
				"providers":[{
					"billed_charge": 1722.27,
					"npi": [1225322290]
				}]
			},{
				"allowed_amount": 319.92,
				"providers":[{
					"billed_charge": 1722.27,
					"npi": [1629587373]
				}]
			},{
				"allowed_amount": 324.62,
				"providers":[{
					"billed_charge": 1722.27,
					"npi": [1407869233,1477575520]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "880176558"
			},
			"service_code": ["23"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 1955.00,
				"providers":[{
					"billed_charge": 1955.00,
					"npi": [1164684502]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "880303529"
			},
			"service_code": ["23"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 310.09,
				"billing_code_modifier": ["57"],
				"providers":[{
					"billed_charge": 1089.00,
					"npi": [1033178249]
				}]
			},{
				"allowed_amount": 0.00,
				"billing_code_modifier": ["57"],
				"providers":[{
					"billed_charge": 1089.00,
					"npi": [1033178249]
				}]
			},{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 1089.00,
					"npi": [1548656796]
				}]
			},{
				"allowed_amount": 1089.00,
				"providers":[{
					"billed_charge": 1089.00,
					"npi": [1548656796]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "900950252"
			},
			"service_code": ["23"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 162.31,
				"billing_code_modifier": ["25"],
				"providers":[{
					"billed_charge": 876.00,
					"npi": [1326371055,1952454449]
				}]
			},{
				"allowed_amount": 319.92,
				"providers":[{
					"billed_charge": 876.00,
					"npi": [1295174761,1326252156,1326371055,1376833038,1508248535,1619293495,1760828958,1770578411,1811436413]
				}]
			},{
				"allowed_amount": 324.62,
				"providers":[{
					"billed_charge": 876.00,
					"npi": [1073965059,1275572372,1295174761,1326252156,1376757732,1518992668,1619293495,1770578411,1811436413,1861947012]
				}]
			},{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 876.00,
					"npi": [1093745812,1295174761]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "921846432"
			},
			"service_code": ["23"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 319.92,
				"billing_code_modifier": ["25"],
				"providers":[{
					"billed_charge": 1237.00,
					"npi": [1881893519]
				}]
			},{
				"allowed_amount": 319.92,
				"providers":[{
					"billed_charge": 1237.00,
					"npi": [1811924764]
				}]
			},{
				"allowed_amount": 324.62,
				"billing_code_modifier": ["25"],
				"providers":[{
					"billed_charge": 1237.00,
					"npi": [1467087510]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "940562680"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 1485.72,
				"billing_code_modifier": ["25"],
				"providers":[{
					"billed_charge": 8003.00,
					"npi": [1659439834]
				}]
			}]
		},{
			"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]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "942494000"
			},
			"service_code": ["23"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 319.92,
				"providers":[{
					"billed_charge": 1415.00,
					"npi": [1750900635,1770595910]
				}]
			},{
				"allowed_amount": 324.62,
				"providers":[{
					"billed_charge": 1415.00,
					"npi": [1750900635]
				}]
			},{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 1415.00,
					"npi": [1750900635]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "942494000"
			},
			"service_code": ["23"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 326.90,
				"providers":[{
					"billed_charge": 1415.00,
					"npi": [1972149045]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "943278555"
			},
			"service_code": ["23"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 346.20,
				"providers":[{
					"billed_charge": 1215.00,
					"npi": [1134110661]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "950651579"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 5787.65,
				"billing_code_modifier": ["25"],
				"providers":[{
					"billed_charge": 6809.00,
					"npi": [1154304475]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "951643360"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 1268.71,
				"billing_code_modifier": ["25"],
				"providers":[{
					"billed_charge": 6943.00,
					"npi": [1992752315]
				}]
			},{
				"allowed_amount": 1839.41,
				"billing_code_modifier": ["25"],
				"providers":[{
					"billed_charge": 6943.00,
					"npi": [1992752315]
				}]
			}]
		},{
			"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": [1841277704]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "951691313"
			},
			"service_code": ["23"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 275.63,
				"billing_code_modifier": ["FS"],
				"providers":[{
					"billed_charge": 600.00,
					"npi": [1457988537]
				}]
			},{
				"allowed_amount": 275.63,
				"providers":[{
					"billed_charge": 600.00,
					"npi": [1740778653]
				}]
			},{
				"allowed_amount": 280.80,
				"billing_code_modifier": ["57"],
				"providers":[{
					"billed_charge": 600.00,
					"npi": [1548477631]
				}]
			},{
				"allowed_amount": 280.80,
				"billing_code_modifier": ["GC"],
				"providers":[{
					"billed_charge": 600.00,
					"npi": [1205178712,1861880817,1932318565]
				}]
			},{
				"allowed_amount": 280.80,
				"providers":[{
					"billed_charge": 600.00,
					"npi": [1073740205,1376957027,1679035661,1952608580,1962745745]
				}]
			},{
				"allowed_amount": 280.80,
				"billing_code_modifier": ["GC", "25"],
				"providers":[{
					"billed_charge": 600.00,
					"npi": [1215322748]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "952321786"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 1268.71,
				"billing_code_modifier": ["25"],
				"providers":[{
					"billed_charge": 4922.00,
					"npi": [1811080526]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "952367304"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 5787.65,
				"billing_code_modifier": ["25"],
				"providers":[{
					"billed_charge": 6809.00,
					"npi": [1396728630]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "953192932"
			},
			"service_code": ["23"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 330.54,
				"providers":[{
					"billed_charge": 1110.00,
					"npi": [1871535286]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "953782169"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 0.00,
				"billing_code_modifier": ["25"],
				"providers":[{
					"billed_charge": 13618.00,
					"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": [1376513754,1457321317]
				}]
			}]
		}]
	},{
		"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": 366.64,
				"providers":[{
					"billed_charge": 1495.00,
					"npi": [1366903486]
				}]
			},{
				"allowed_amount": 373.21,
				"providers":[{
					"billed_charge": 1495.00,
					"npi": [1710916283]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "320595156"
			},
			"service_code": ["23"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 243.71,
				"providers":[{
					"billed_charge": 893.00,
					"npi": [1083293443,1265402648,1669424149]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "330028122"
			},
			"service_code": ["21"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 253.86,
				"providers":[{
					"billed_charge": 640.00,
					"npi": [1700848397]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "330515386"
			},
			"service_code": ["23"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 712.00,
					"npi": [1386172260]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "330528802"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 25055.93,
				"providers":[{
					"billed_charge": 12657.00,
					"npi": [1699868398]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "330610185"
			},
			"service_code": ["21"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 243.71,
				"billing_code_modifier": ["25"],
				"providers":[{
					"billed_charge": 881.00,
					"npi": [1356838957]
				}]
			},{
				"allowed_amount": 243.71,
				"providers":[{
					"billed_charge": 881.00,
					"npi": [1356838957]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "453344322"
			},
			"service_code": ["21"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 243.71,
				"providers":[{
					"billed_charge": 918.88,
					"npi": [1396974424]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "462690851"
			},
			"service_code": ["23"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 183.32,
				"billing_code_modifier": ["25"],
				"providers":[{
					"billed_charge": 1549.00,
					"npi": [1174835359]
				}]
			},{
				"allowed_amount": 186.61,
				"billing_code_modifier": ["25"],
				"providers":[{
					"billed_charge": 1549.00,
					"npi": [1265460893]
				}]
			},{
				"allowed_amount": 365.56,
				"providers":[{
					"billed_charge": 1549.00,
					"npi": [1174835359]
				}]
			},{
				"allowed_amount": 366.64,
				"billing_code_modifier": ["25"],
				"providers":[{
					"billed_charge": 1549.00,
					"npi": [1043259310,1265460893]
				}]
			},{
				"allowed_amount": 366.64,
				"providers":[{
					"billed_charge": 1549.00,
					"npi": [1073581914,1114196862,1700870912,1942230297,1952668931]
				}]
			},{
				"allowed_amount": 373.21,
				"billing_code_modifier": ["25"],
				"providers":[{
					"billed_charge": 1549.00,
					"npi": [1265460893,1609829142]
				}]
			},{
				"allowed_amount": 373.21,
				"providers":[{
					"billed_charge": 1549.00,
					"npi": [1073581914,1700870912]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "474096798"
			},
			"service_code": ["23"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 366.64,
				"billing_code_modifier": ["25"],
				"providers":[{
					"billed_charge": 1434.00,
					"npi": [1922216795]
				}]
			},{
				"allowed_amount": 366.64,
				"providers":[{
					"billed_charge": 1434.00,
					"npi": [1245286889]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "811641281"
			},
			"service_code": ["23"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 373.21,
				"providers":[{
					"billed_charge": 1725.00,
					"npi": [1255569786]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "821550793"
			},
			"service_code": ["23"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 372.23,
				"providers":[{
					"billed_charge": 1200.00,
					"npi": [1972866523]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "871451688"
			},
			"service_code": ["21", "23"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 366.64,
				"providers":[{
					"billed_charge": 2456.43,
					"npi": [1780207449]
				}]
			},{
				"allowed_amount": 373.21,
				"providers":[{
					"billed_charge": 2456.43,
					"npi": [1124698139]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "900950252"
			},
			"service_code": ["23"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 366.64,
				"billing_code_modifier": ["GC"],
				"providers":[{
					"billed_charge": 1214.00,
					"npi": [1619293495]
				}]
			},{
				"allowed_amount": 366.64,
				"providers":[{
					"billed_charge": 1214.00,
					"npi": [1376833038,1750312351,1952454449]
				}]
			},{
				"allowed_amount": 373.21,
				"providers":[{
					"billed_charge": 1214.00,
					"npi": [1811436413,1861947012]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "951691313"
			},
			"service_code": ["21", "23"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 324.94,
				"providers":[{
					"billed_charge": 744.00,
					"npi": [1255864914]
				}]
			},{
				"allowed_amount": 331.04,
				"billing_code_modifier": ["GC"],
				"providers":[{
					"billed_charge": 744.00,
					"npi": [1184071516]
				}]
			},{
				"allowed_amount": 331.04,
				"providers":[{
					"billed_charge": 744.00,
					"npi": [1679035661]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "954534163"
			},
			"service_code": ["23"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 372.23,
				"providers":[{
					"billed_charge": 1158.00,
					"npi": [1184048712]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "956003843"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 1691.52,
				"billing_code_modifier": ["25"],
				"providers":[{
					"billed_charge": 15394.07,
					"npi": [1457321317]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "990970557"
			},
			"service_code": ["23"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 365.98,
				"billing_code_modifier": ["25"],
				"providers":[{
					"billed_charge": 1655.00,
					"npi": [1528444023]
				}]
			},{
				"allowed_amount": 365.98,
				"providers":[{
					"billed_charge": 1655.00,
					"npi": [1013593839]
				}]
			}]
		}]
	},{
		"name": "PR PREVENTIVE VISIT,EST, INFANT < 1 YR",
		"billing_code_type": "CPT",
		"billing_code_type_version": "2026",
		"billing_code": "99391",
		"description": "Preventive Visit,Est, Infant < 1 Yr",
		"allowed_amounts":[{
			"tin": {
				"type": "ein",
				"value": "202138632"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 300.00,
					"npi": [1770044190]
				},{
					"billed_charge": 350.00,
					"npi": [1770044190]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "330662258"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 97.64,
				"billing_code_modifier": ["25"],
				"providers":[{
					"billed_charge": 299.00,
					"npi": [1740249432]
				}]
			},{
				"allowed_amount": 97.64,
				"providers":[{
					"billed_charge": 272.00,
					"npi": [1013005636,1154356582,1154516599,1205002417]
				},{
					"billed_charge": 299.00,
					"npi": [1295962686,1457453177,1518228188,1619948635]
				}]
			},{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 299.00,
					"npi": [1518228188]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "870737748"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 113.30,
				"billing_code_modifier": ["25"],
				"providers":[{
					"billed_charge": 265.00,
					"npi": [1528696127,1942215710,1952476327]
				}]
			},{
				"allowed_amount": 113.30,
				"providers":[{
					"billed_charge": 265.00,
					"npi": [1528696127,1609072362]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "870737749"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 113.30,
				"providers":[{
					"billed_charge": 265.00,
					"npi": [1134625460,1962504423]
				}]
			}]
		}]
	},{
		"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": 16.40,
				"providers":[{
					"billed_charge": 70.00,
					"npi": [1346470408,1952535114]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "237064656"
			},
			"service_code": ["22"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 16.40,
				"providers":[{
					"billed_charge": 70.00,
					"npi": [1437253671]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "330102201"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 22.21,
				"providers":[{
					"billed_charge": 28.00,
					"npi": [1730110529]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "330678374"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 21.29,
				"providers":[{
					"billed_charge": 59.00,
					"npi": [1902337827]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "824454688"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"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": 18.51,
				"providers":[{
					"billed_charge": 59.29,
					"npi": [1184252439,1386030831,1568090579,1790139434]
				}]
			},{
				"allowed_amount": 0.00,
				"billing_code_modifier": ["95"],
				"providers":[{
					"billed_charge": 59.29,
					"npi": [1386030831]
				}]
			},{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 59.29,
					"npi": [1184252439,1790139434]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "870737749"
			},
			"service_code": ["11", "02"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 18.51,
				"providers":[{
					"billed_charge": 59.29,
					"npi": [1174151120,1295355303,1396301529,1649219395,1750687158,1770223307,1952599490,1962504423]
				}]
			},{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 59.29,
					"npi": [1295355303,1306370747,1720305436,1891337812,1962504423]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "951691313"
			},
			"service_code": ["10", "11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 29.62,
				"providers":[{
					"billed_charge": 58.00,
					"npi": [1740316405]
				}]
			},{
				"allowed_amount": 30.17,
				"providers":[{
					"billed_charge": 58.00,
					"npi": [1033642574,1104997964,1235167321,1306227491,1356502520,1386140085,1427140839,1427435825,1508910787,1588846380,1659634699]
				}]
			},{
				"allowed_amount": 24.30,
				"billing_code_modifier": ["95"],
				"providers":[{
					"billed_charge": 58.00,
					"npi": [1801316526]
				}]
			}]
		}]
	},{
		"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": "870737748"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 0.01,
					"npi": [1851381115,1881093391]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "870737749"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 0.01,
					"npi": [1033997309,1205973948,1457500779,1487366753,1720485287,1962465732]
				}]
			}]
		}]
	},{
		"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": "271482702"
			},
			"service_code": ["41"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 816.00,
				"billing_code_modifier": ["HN"],
				"providers":[{
					"billed_charge": 935.00,
					"npi": [1407178585]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "330285453"
			},
			"service_code": ["41"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 125.50,
				"billing_code_modifier": ["SH"],
				"providers":[{
					"billed_charge": 125.50,
					"npi": [1639131436]
				}]
			},{
				"allowed_amount": 125.50,
				"billing_code_modifier": ["RH"],
				"providers":[{
					"billed_charge": 125.50,
					"npi": [1639131436]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "752474011"
			},
			"service_code": ["41"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 24.71,
				"billing_code_modifier": ["RH"],
				"providers":[{
					"billed_charge": 251.40,
					"npi": [1578597886]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "880175774"
			},
			"service_code": ["41"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 80.00,
				"billing_code_modifier": ["HH"],
				"providers":[{
					"billed_charge": 80.00,
					"npi": [1841257391]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "882581120"
			},
			"service_code": ["41"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 450.00,
				"billing_code_modifier": ["HR"],
				"providers":[{
					"billed_charge": 450.00,
					"npi": [1356067037]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "900334466"
			},
			"service_code": ["41"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 336.00,
				"billing_code_modifier": ["SH"],
				"providers":[{
					"billed_charge": 336.00,
					"npi": [1497024731]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "920288960"
			},
			"service_code": ["41"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"billing_code_modifier": ["RH"],
				"providers":[{
					"billed_charge": 176.00,
					"npi": [1770206450]
				}]
			},{
				"allowed_amount": 176.00,
				"billing_code_modifier": ["RH"],
				"providers":[{
					"billed_charge": 176.00,
					"npi": [1770206450]
				}]
			},{
				"allowed_amount": 528.00,
				"billing_code_modifier": ["RH"],
				"providers":[{
					"billed_charge": 528.00,
					"npi": [1770206450]
				}]
			},{
				"allowed_amount": 871.20,
				"billing_code_modifier": ["RH"],
				"providers":[{
					"billed_charge": 871.20,
					"npi": [1770206450]
				}]
			},{
				"allowed_amount": 880.00,
				"billing_code_modifier": ["SH"],
				"providers":[{
					"billed_charge": 880.00,
					"npi": [1770206450]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "951688570"
			},
			"service_code": ["41"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 221.12,
				"billing_code_modifier": ["RH"],
				"providers":[{
					"billed_charge": 221.12,
					"npi": [1811081425]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "952259585"
			},
			"service_code": ["41"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 377.60,
				"billing_code_modifier": ["RH"],
				"providers":[{
					"billed_charge": 377.60,
					"npi": [1346248606]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "956000478"
			},
			"service_code": ["41"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 112.00,
				"billing_code_modifier": ["SH"],
				"providers":[{
					"billed_charge": 112.00,
					"npi": [1295724813]
				}]
			},{
				"allowed_amount": 168.00,
				"billing_code_modifier": ["RH"],
				"providers":[{
					"billed_charge": 168.00,
					"npi": [1295724813]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "956000690"
			},
			"service_code": ["41"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 208.65,
				"billing_code_modifier": ["RH"],
				"providers":[{
					"billed_charge": 208.65,
					"npi": [1356960413]
				}]
			},{
				"allowed_amount": 333.84,
				"billing_code_modifier": ["SH"],
				"providers":[{
					"billed_charge": 333.84,
					"npi": [1356960413]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "956000708"
			},
			"service_code": ["41"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 160.00,
				"billing_code_modifier": ["RH"],
				"providers":[{
					"billed_charge": 160.00,
					"npi": [1548266455]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "956000776"
			},
			"service_code": ["41"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 1008.00,
				"billing_code_modifier": ["RH"],
				"providers":[{
					"billed_charge": 1008.00,
					"npi": [1043904485]
				}]
			},{
				"allowed_amount": 144.00,
				"billing_code_modifier": ["SH"],
				"providers":[{
					"billed_charge": 144.00,
					"npi": [1043904485]
				}]
			},{
				"allowed_amount": 144.00,
				"billing_code_modifier": ["RH"],
				"providers":[{
					"billed_charge": 144.00,
					"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": 240.00,
				"billing_code_modifier": ["RH"],
				"providers":[{
					"billed_charge": 240.00,
					"npi": [1043904485]
				}]
			},{
				"allowed_amount": 384.00,
				"billing_code_modifier": ["SH"],
				"providers":[{
					"billed_charge": 384.00,
					"npi": [1043904485]
				}]
			},{
				"allowed_amount": 384.00,
				"billing_code_modifier": ["RH"],
				"providers":[{
					"billed_charge": 384.00,
					"npi": [1043904485]
				}]
			},{
				"allowed_amount": 48.00,
				"billing_code_modifier": ["SH"],
				"providers":[{
					"billed_charge": 48.00,
					"npi": [1043904485]
				}]
			},{
				"allowed_amount": 576.00,
				"billing_code_modifier": ["RH"],
				"providers":[{
					"billed_charge": 576.00,
					"npi": [1043904485]
				}]
			},{
				"allowed_amount": 624.00,
				"billing_code_modifier": ["RH"],
				"providers":[{
					"billed_charge": 624.00,
					"npi": [1043904485]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "956004793"
			},
			"service_code": ["41"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 387.00,
				"billing_code_modifier": ["RH"],
				"providers":[{
					"billed_charge": 387.00,
					"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": "330285453"
			},
			"service_code": ["41"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 2923.74,
				"billing_code_modifier": ["RH"],
				"providers":[{
					"billed_charge": 2923.74,
					"npi": [1639131436]
				}]
			}]
		},{
			"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": 3743.00,
				"billing_code_modifier": ["SH"],
				"providers":[{
					"billed_charge": 3743.00,
					"npi": [1497024731]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "920288960"
			},
			"service_code": ["41"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 1283.00,
				"billing_code_modifier": ["RH"],
				"providers":[{
					"billed_charge": 1283.00,
					"npi": [1770206450]
				}]
			},{
				"allowed_amount": 2949.00,
				"billing_code_modifier": ["SH"],
				"providers":[{
					"billed_charge": 2949.00,
					"npi": [1770206450]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "951688570"
			},
			"service_code": ["41"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 1699.98,
				"billing_code_modifier": ["RH"],
				"providers":[{
					"billed_charge": 1699.98,
					"npi": [1811081425]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "952259585"
			},
			"service_code": ["41"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 2488.04,
				"billing_code_modifier": ["RH"],
				"providers":[{
					"billed_charge": 2488.04,
					"npi": [1346248606]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "956000478"
			},
			"service_code": ["41"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 3743.00,
				"billing_code_modifier": ["RH"],
				"providers":[{
					"billed_charge": 4814.35,
					"npi": [1295724813]
				},{
					"billed_charge": 3783.00,
					"npi": [1295724813]
				}]
			}]
		},{
			"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": 2800.00,
				"billing_code_modifier": ["RH"],
				"providers":[{
					"billed_charge": 2800.00,
					"npi": [1356960413]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "956000708"
			},
			"service_code": ["41"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 3743.00,
				"billing_code_modifier": ["RH"],
				"providers":[{
					"billed_charge": 4367.00,
					"npi": [1548266455]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "956000776"
			},
			"service_code": ["41"],
			"billing_class": "professional",
			"payments":[{
				"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]
				}]
			},{
				"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": 2859.00,
				"billing_code_modifier": ["RH"],
				"providers":[{
					"billed_charge": 2859.00,
					"npi": [1487659934]
				}]
			}]
		}]
	},{
		"name": "PR SYRINGE W/WO NEEDLE",
		"billing_code_type": "HCPCS",
		"billing_code_type_version": "2026",
		"billing_code": "A4657",
		"description": "Syringe W/WO Needle",
		"allowed_amounts":[{
			"tin": {
				"type": "ein",
				"value": "262681502"
			},
			"service_code": ["65"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 1938.30,
					"npi": [1801021399]
				},{
					"billed_charge": 4473.00,
					"npi": [1801021399]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "463621746"
			},
			"service_code": ["65"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 149.10,
					"npi": [1467889360]
				}]
			}]
		}]
	},{
		"name": "PR ALCOHOL AND/OR DRUG SERVICES",
		"billing_code_type": "HCPCS",
		"billing_code_type_version": "2026",
		"billing_code": "H0018",
		"description": "Alcohol and/or Drug Services",
		"allowed_amounts":[{
			"tin": {
				"type": "ein",
				"value": "843524074"
			},
			"service_code": ["21"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 5495.00,
					"npi": [1629689138]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "843524074"
			},
			"service_code": ["55"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 5495.00,
					"npi": [1053467720]
				}]
			}]
		}]
	},{
		"name": "PR INJ HEPARIN SODIUM PER 1000U",
		"billing_code_type": "HCPCS",
		"billing_code_type_version": "2026",
		"billing_code": "J1644",
		"description": "Inj Heparin Sodium per 1000u",
		"allowed_amounts":[{
			"tin": {
				"type": "ein",
				"value": "461246570"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 67.99,
				"providers":[{
					"billed_charge": 408.00,
					"npi": [1679816201]
				}]
			},{
				"allowed_amount": 12.00,
				"providers":[{
					"billed_charge": 12.00,
					"npi": [1679816201]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "463621746"
			},
			"service_code": ["65"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 386.75,
					"npi": [1467889360]
				},{
					"billed_charge": 665.21,
					"npi": [1467889360]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "951684089"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 15.00,
				"providers":[{
					"billed_charge": 30.00,
					"npi": [1841277704]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "951684089"
			},
			"service_code": ["22"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 4.50,
				"providers":[{
					"billed_charge": 30.00,
					"npi": [1659359446]
				}]
			}]
		}]
	},{
		"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": "205823403"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"billing_code_modifier": ["JZ"],
				"providers":[{
					"billed_charge": 50.00,
					"npi": [1154395440]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "233059262"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 15.10,
				"billing_code_modifier": ["JZ"],
				"providers":[{
					"billed_charge": 606.00,
					"npi": [1245221050]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "330528802"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 0.00,
				"billing_code_modifier": ["JZ"],
				"providers":[{
					"billed_charge": 126.82,
					"npi": [1699868398]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "371705906"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 7.72,
				"providers":[{
					"billed_charge": 7.72,
					"npi": [1588908388]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "432035443"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 7.55,
				"billing_code_modifier": ["JZ"],
				"providers":[{
					"billed_charge": 91.00,
					"npi": [1457347239]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "461246570"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 7.55,
				"billing_code_modifier": ["JZ"],
				"providers":[{
					"billed_charge": 145.00,
					"npi": [1679816201]
				}]
			},{
				"allowed_amount": 0.00,
				"billing_code_modifier": ["JZ"],
				"providers":[{
					"billed_charge": 596.00,
					"npi": [1679816201]
				}]
			},{
				"allowed_amount": 15.10,
				"billing_code_modifier": ["JZ"],
				"providers":[{
					"billed_charge": 596.00,
					"npi": [1679816201]
				}]
			},{
				"allowed_amount": 15.10,
				"providers":[{
					"billed_charge": 596.00,
					"npi": [1679816201]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "473999171"
			},
			"service_code": ["20"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 1.06,
				"providers":[{
					"billed_charge": 10.00,
					"npi": [1194755363,1457388720]
				}]
			},{
				"allowed_amount": 0.53,
				"providers":[{
					"billed_charge": 5.00,
					"npi": [1194755363,1457388720]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "840405257"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 0.43,
				"billing_code_modifier": ["JZ"],
				"providers":[{
					"billed_charge": 90.00,
					"npi": [1295431765,1932112125]
				}]
			}]
		},{
			"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": [1013379171,1164633970]
				},{
					"billed_charge": 3.02,
					"npi": [1770567182]
				}]
			},{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 1.51,
					"npi": [1013379171,1164633970,1558361907]
				},{
					"billed_charge": 3.02,
					"npi": [1083798482,1144237637,1770567182]
				}]
			},{
				"allowed_amount": 0.33,
				"billing_code_modifier": ["JW"],
				"providers":[{
					"billed_charge": 1.51,
					"npi": [1962503805]
				}]
			},{
				"allowed_amount": 0.33,
				"providers":[{
					"billed_charge": 1.51,
					"npi": [1659371995,1962503805]
				}]
			},{
				"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]
				}]
			},{
				"allowed_amount": 1.00,
				"billing_code_modifier": ["JW"],
				"providers":[{
					"billed_charge": 4.53,
					"npi": [1659371995]
				}]
			},{
				"allowed_amount": 1.50,
				"providers":[{
					"billed_charge": 3.02,
					"npi": [1801833025]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "951643360"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 7.55,
				"billing_code_modifier": ["JZ"],
				"providers":[{
					"billed_charge": 93.25,
					"npi": [1992752315]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "951684089"
			},
			"service_code": ["22"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 6.85,
				"providers":[{
					"billed_charge": 45.66,
					"npi": [1659359446]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "951934652"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 13.90,
					"npi": [1043215379]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "952367304"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 2.81,
				"billing_code_modifier": ["JZ"],
				"providers":[{
					"billed_charge": 3.31,
					"npi": [1396728630]
				}]
			},{
				"allowed_amount": 2.81,
				"billing_code_modifier": ["JZ", "UD"],
				"providers":[{
					"billed_charge": 3.31,
					"npi": [1396728630]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "952666087"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 3.00,
				"providers":[{
					"billed_charge": 3.32,
					"npi": [1952363038]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "953782169"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 5.92,
				"providers":[{
					"billed_charge": 6.97,
					"npi": [1407839921]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "956003843"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 0.00,
				"billing_code_modifier": ["JZ"],
				"providers":[{
					"billed_charge": 0.64,
					"npi": [1376513754]
				}]
			},{
				"allowed_amount": 0.53,
				"billing_code_modifier": ["JZ"],
				"providers":[{
					"billed_charge": 54.00,
					"npi": [1457321317]
				}]
			}]
		}]
	},{
		"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": "330449527"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 7.51,
				"providers":[{
					"billed_charge": 8.84,
					"npi": [1528041811]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "330528802"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 126.82,
					"npi": [1699868398]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "371705906"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 5.25,
				"providers":[{
					"billed_charge": 5.25,
					"npi": [1588908388]
				}]
			},{
				"allowed_amount": 5.66,
				"providers":[{
					"billed_charge": 5.66,
					"npi": [1588908388]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "870737749"
			},
			"service_code": ["20"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.37,
				"providers":[{
					"billed_charge": 3.80,
					"npi": [1558361907,1659371995,1962503805]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "876000525"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 36.00,
					"npi": [1588656870]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "951643360"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 6.59,
				"providers":[{
					"billed_charge": 93.25,
					"npi": [1992752315]
				}]
			}]
		},{
			"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", "23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 30.00,
				"providers":[{
					"billed_charge": 60.00,
					"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": 4.50,
				"providers":[{
					"billed_charge": 30.00,
					"npi": [ ]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "951684089"
			},
			"service_code": ["22"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 4.50,
				"providers":[{
					"billed_charge": 30.00,
					"npi": [1659359446]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "953154530"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 16.58,
				"providers":[{
					"billed_charge": 282.00,
					"npi": [1962444059]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "953782169"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 7.51,
				"providers":[{
					"billed_charge": 8.84,
					"npi": [1407839921]
				}]
			}]
		}]
	},{
		"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": "870737748"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 0.01,
					"npi": [1033798699,1174692545,1184252439,1326076043,1447451729,1538113493,1568090579,1790139434]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "870737749"
			},
			"service_code": ["11", "02"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 0.01,
					"npi": [1033997309,1174037451,1205973948,1255737847,1285612457,1427492891,1467006148,1578060034,1720485287,1740090448,1780050534,1790232122]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "920943759"
			},
			"service_code": ["20"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 0.01,
					"npi": [1003205808]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "952801772"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 0.00,
					"npi": [1659638062,1801112925]
				}]
			}]
		}]
	},{
		"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": [1275601478]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "272973102"
			},
			"service_code": ["20"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 127.00,
					"npi": [1003559907,1013557925,1053762005,1316438807,1366168031,1366299315,1396058137,1619523024,1629581764]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "810799828"
			},
			"service_code": ["20"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 88.00,
					"npi": [1811273733]
				}]
			}]
		}]
	},{
		"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,
				"providers":[{
					"billed_charge": 981.00,
					"npi": [1245221050]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "251778644"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 276.54,
				"providers":[{
					"billed_charge": 870.00,
					"npi": [1407813603]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "330449527"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 1000.45,
				"providers":[{
					"billed_charge": 1177.00,
					"npi": [1528041811]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "330528802"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 476.00,
					"npi": [1699868398]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "454989022"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 300.78,
				"billing_code_modifier": ["XU"],
				"providers":[{
					"billed_charge": 1317.46,
					"npi": [1801152566]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "461246570"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 207.64,
				"billing_code_modifier": ["59"],
				"providers":[{
					"billed_charge": 1069.00,
					"npi": [1679816201]
				}]
			},{
				"allowed_amount": 207.64,
				"providers":[{
					"billed_charge": 1069.00,
					"npi": [1679816201]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "720423659"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 258.28,
				"billing_code_modifier": ["XU"],
				"providers":[{
					"billed_charge": 578.00,
					"npi": [1821098286]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "840405257"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 290.26,
				"providers":[{
					"billed_charge": 975.39,
					"npi": [1932112125]
				}]
			},{
				"allowed_amount": 291.69,
				"providers":[{
					"billed_charge": 975.39,
					"npi": [1295431765]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "860137567"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 406.00,
				"providers":[{
					"billed_charge": 584.00,
					"npi": [1174512792]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "870737749"
			},
			"service_code": ["20"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 43.71,
				"providers":[{
					"billed_charge": 165.68,
					"npi": [1548248511,1659371995]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "876000525"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 0.00,
				"billing_code_modifier": ["59"],
				"providers":[{
					"billed_charge": 279.24,
					"npi": [1588656870]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "951643360"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 205.61,
				"billing_code_modifier": ["59"],
				"providers":[{
					"billed_charge": 368.00,
					"npi": [1992752315]
				}]
			},{
				"allowed_amount": 193.00,
				"providers":[{
					"billed_charge": 368.00,
					"npi": [1992752315]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "951684089"
			},
			"service_code": ["22"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 253.75,
				"billing_code_modifier": ["59"],
				"providers":[{
					"billed_charge": 1812.53,
					"npi": [1841233780]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "951684089"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 906.27,
				"billing_code_modifier": ["59"],
				"providers":[{
					"billed_charge": 1812.53,
					"npi": [1841277704]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "953154530"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 278.58,
				"providers":[{
					"billed_charge": 381.00,
					"npi": [1962444059]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "953782169"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 1000.45,
				"providers":[{
					"billed_charge": 1177.00,
					"npi": [1407839921]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "956003843"
			},
			"service_code": ["23"],
			"billing_class": "institutional",
			"payments":[{
				"allowed_amount": 435.58,
				"billing_code_modifier": ["59"],
				"providers":[{
					"billed_charge": 972.27,
					"npi": [1457321317]
				}]
			}]
		}]
	},{
		"name": "PR SUBSEQUENT INTENSIVE CARE INFANT 1500-2500 GRAMS",
		"billing_code_type": "CPT",
		"billing_code_type_version": "2026",
		"billing_code": "99479",
		"description": "Subsequent Intensive Care Infant 1500-2500 Grams",
		"allowed_amounts":[{
			"tin": {
				"type": "ein",
				"value": "951691313"
			},
			"service_code": ["21"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 173.92,
				"providers":[{
					"billed_charge": 423.00,
					"npi": [1952691941]
				}]
			},{
				"allowed_amount": 177.18,
				"providers":[{
					"billed_charge": 423.00,
					"npi": [1003028416,1033286430,1417121971,1801978143,1992060974]
				}]
			}]
		}]
	},{
		"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": "870737748"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 0.01,
					"npi": [1033798699,1174692545,1184252439,1285263830,1326076043,1366949729,1447451729,1538113493,1568090579,1790139434]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "870737749"
			},
			"service_code": ["11", "02"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 0.01,
					"npi": [1033997309,1154434421,1174037451,1205973948,1255737847,1285612457,1295355303,1427492891,1467006148,1508446303,1508511452,1578060034,1720305436,1720485287,1740090448,1780050534,1790232122,1821232620]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "952801772"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 0.00,
					"npi": [1659638062,1801112925]
				}]
			}]
		}]
	},{
		"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": "870737748"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 0.01,
					"npi": [1033798699,1184252439,1285263830,1326076043,1366949729,1447451729,1538113493,1568090579,1790139434]
				}]
			}]
		},{
			"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": [1033997309,1205973948,1396966537,1578060034]
				}]
			},{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 0.01,
					"npi": [1033997309,1174037451,1205973948,1255737847,1285612457,1295355303,1427492891,1467006148,1508446303,1508511452,1538419635,1720485287,1740090448,1780050534,1790232122,1821232620,1861594335,1932722758]
				}]
			}]
		},{
			"tin": {
				"type": "ein",
				"value": "952801772"
			},
			"service_code": ["11"],
			"billing_class": "professional",
			"payments":[{
				"allowed_amount": 0.00,
				"providers":[{
					"billed_charge": 0.00,
					"npi": [1801112925]
				}]
			}]
		}]
	}]
}
