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"billing_class": "professional", "payments":[{ "allowed_amount": 175.22, "billing_code_modifier": ["AI"], "providers":[{ "billed_charge": 613.00, "npi": [1679005227] }] }] },{ "tin": { "type": "ein", "value": "455557052" }, "service_code": ["21", "22"], "billing_class": "professional", "payments":[{ "allowed_amount": 165.82, "billing_code_modifier": ["AI"], "providers":[{ "billed_charge": 822.30, "npi": [1518257138] }] },{ "allowed_amount": 165.82, "providers":[{ "billed_charge": 822.30, "npi": [1811482938] }] },{ "allowed_amount": 0.00, "providers":[{ "billed_charge": 773.90, "npi": [1700221272] }] },{ "allowed_amount": 153.50, "billing_code_modifier": ["AI"], "providers":[{ "billed_charge": 773.90, "npi": [1932558285] }] }] },{ "tin": { "type": "ein", "value": "471497384" }, "service_code": ["21"], "billing_class": "professional", "payments":[{ "allowed_amount": 171.77, "billing_code_modifier": ["GC"], "providers":[{ "billed_charge": 521.38, "npi": [1164955779] }] },{ "allowed_amount": 171.77, "billing_code_modifier": ["GC", "AI"], "providers":[{ "billed_charge": 521.38, "npi": [1306417027] }] }] },{ "tin": { "type": "ein", "value": "510598253" }, "service_code": ["21"], "billing_class": "professional", "payments":[{ "allowed_amount": 131.57, "providers":[{ "billed_charge": 420.00, "npi": [1598131211] }] }] },{ "tin": { "type": "ein", "value": "731321032" }, "service_code": ["21"], "billing_class": "professional", "payments":[{ "allowed_amount": 160.64, "providers":[{ "billed_charge": 422.00, "npi": [1992191365] }] }] },{ "tin": { "type": "ein", "value": "813574137" }, "service_code": ["51"], "billing_class": "professional", "payments":[{ "allowed_amount": 154.78, "providers":[{ "billed_charge": 867.65, "npi": [1700934825] }] },{ "allowed_amount": 165.82, "providers":[{ "billed_charge": 867.65, "npi": [1700934825] }] }] },{ "tin": { "type": "ein", "value": "880136773" }, "service_code": ["21"], "billing_class": "professional", "payments":[{ "allowed_amount": 165.82, "providers":[{ "billed_charge": 613.00, "npi": [1164546719] }] }] },{ "tin": { "type": "ein", "value": "886000436" }, "service_code": ["21"], "billing_class": "professional", "payments":[{ "allowed_amount": 140.95, "providers":[{ "billed_charge": 594.00, "npi": [1588228076] }] },{ "allowed_amount": 0.00, "providers":[{ "billed_charge": 594.00, "npi": [1588228076] }] }] },{ "tin": { "type": "ein", "value": "921874425" }, "service_code": ["21"], "billing_class": "professional", "payments":[{ "allowed_amount": 154.78, "providers":[{ "billed_charge": 334.00, "npi": [1063755106] }] }] },{ "tin": { "type": "ein", "value": "923641643" }, "service_code": ["21"], "billing_class": "professional", "payments":[{ "allowed_amount": 163.27, "billing_code_modifier": ["AI"], "providers":[{ "billed_charge": 1987.81, "npi": [1710947254] }] }] },{ "tin": { "type": "ein", "value": "941450151" }, "service_code": ["22"], "billing_class": "professional", "payments":[{ "allowed_amount": 174.11, "providers":[{ "billed_charge": 534.00, "npi": [1972786911] }] }] }] },{ "name": "PR SUBSEQUENT HOSPITAL CARE,LEVL II", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "99232", "description": "Subsequent Hospital Care,Levl II", "allowed_amounts":[{ "tin": { "type": "ein", "value": "030183483" }, "service_code": ["21"], "billing_class": "professional", "payments":[{ "allowed_amount": 74.17, "providers":[{ "billed_charge": 275.00, "npi": [1275749384,1477560886] }] }] },{ "tin": { "type": "ein", "value": "200562668" }, "service_code": ["21"], "billing_class": "professional", "payments":[{ "allowed_amount": 81.21, "billing_code_modifier": ["GC"], "providers":[{ "billed_charge": 266.04, "npi": [1164502225] }] }] },{ "tin": { "type": "ein", "value": "203395567" }, "service_code": ["21"], "billing_class": "professional", "payments":[{ "allowed_amount": 69.82, "billing_code_modifier": ["GC"], "providers":[{ "billed_charge": 248.00, "npi": [1801258595] }] }] },{ "tin": { "type": "ein", "value": "263303591" }, "service_code": ["21"], "billing_class": "professional", "payments":[{ "allowed_amount": 69.24, "providers":[{ "billed_charge": 153.00, "npi": [1316687106] }] },{ "allowed_amount": 69.82, "providers":[{ "billed_charge": 153.00, "npi": [1316687106,1508361007] }] },{ "allowed_amount": 75.68, "providers":[{ "billed_charge": 153.00, "npi": [1376960203] }] },{ "allowed_amount": 0.00, "providers":[{ "billed_charge": 153.00, "npi": [1376960203,1518396399,1588302921,1750581559,1912439191] }] }] },{ "tin": { "type": "ein", "value": "264339610" }, "service_code": ["21"], "billing_class": "professional", "payments":[{ "allowed_amount": 59.35, "billing_code_modifier": ["25"], "providers":[{ "billed_charge": 222.00, "npi": [1174041735,1740366822] }] },{ "allowed_amount": 59.35, "providers":[{ "billed_charge": 222.00, "npi": [1740366822] }] },{ "allowed_amount": 75.68, "billing_code_modifier": ["25"], "providers":[{ "billed_charge": 222.00, "npi": [1174027874,1750841169] }] }] },{ "tin": { "type": "ein", "value": "363097297" }, "service_code": ["21"], "billing_class": "professional", "payments":[{ "allowed_amount": 80.03, "providers":[{ "billed_charge": 217.00, "npi": [1285075820,1922758671] }] }] },{ "tin": { "type": "ein", "value": "731321032" }, "service_code": ["21"], "billing_class": "professional", "payments":[{ "allowed_amount": 73.29, "providers":[{ "billed_charge": 150.00, "npi": [1992191365] }] }] },{ "tin": { "type": "ein", "value": "813419791" }, "service_code": ["21"], "billing_class": "professional", "payments":[{ "allowed_amount": 75.68, "billing_code_modifier": ["GC"], "providers":[{ "billed_charge": 239.00, "npi": [1780662569] }] },{ "allowed_amount": 75.68, "providers":[{ "billed_charge": 239.00, "npi": [1154363315] }] },{ "allowed_amount": 0.00, "billing_code_modifier": ["GC"], "providers":[{ "billed_charge": 239.00, "npi": [1780662569] }] }] },{ "tin": { "type": "ein", "value": "813574137" }, "service_code": ["51"], "billing_class": "professional", "payments":[{ "allowed_amount": 69.82, "providers":[{ "billed_charge": 395.10, "npi": [1700934825] }] },{ "allowed_amount": 75.68, "providers":[{ "billed_charge": 395.10, "npi": [1700934825] }] }] },{ "tin": { "type": "ein", "value": "820907917" }, "service_code": ["21"], "billing_class": "professional", "payments":[{ "allowed_amount": 64.33, "providers":[{ "billed_charge": 222.00, "npi": [1689227100] }] },{ "allowed_amount": 75.68, "billing_code_modifier": ["GC"], "providers":[{ "billed_charge": 222.00, "npi": [1750840526] }] },{ "allowed_amount": 0.00, "providers":[{ "billed_charge": 222.00, "npi": [1689227100] }] }] },{ "tin": { "type": "ein", "value": "870468377" }, "service_code": ["21"], "billing_class": "professional", "payments":[{ "allowed_amount": 78.39, "billing_code_modifier": ["25", "GC"], "providers":[{ "billed_charge": 186.29, "npi": [1962744029] }] }] },{ "tin": { "type": "ein", "value": "872781421" }, "service_code": ["21"], "billing_class": "professional", "payments":[{ "allowed_amount": 69.82, "billing_code_modifier": ["FS"], "providers":[{ "billed_charge": 189.20, "npi": [1518944305] }] }] },{ "tin": { "type": "ein", "value": "886000436" }, "service_code": ["11", "21"], "billing_class": "professional", "payments":[{ "allowed_amount": 75.68, "providers":[{ "billed_charge": 270.00, "npi": [1245644491,1881795425] }] },{ "allowed_amount": 0.00, "providers":[{ "billed_charge": 270.00, "npi": [1881795425] }] }] }] },{ "name": "PB SUBSEQUENT HOSPITAL CARE,LEVL III", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "99233", "description": "Subsequent Hospital Care,Levl III", "allowed_amounts":[{ "tin": { "type": "ein", "value": "263303591" }, "service_code": ["21"], "billing_class": "professional", "payments":[{ "allowed_amount": 105.02, "providers":[{ "billed_charge": 230.00, "npi": [1124290317] }] },{ "allowed_amount": 0.00, "providers":[{ "billed_charge": 230.00, "npi": [1609859925,1750581559,1912439191] }] },{ "allowed_amount": 105.90, "providers":[{ "billed_charge": 230.00, "npi": [1063499440,1124290317,1316687106,1508361007] }] },{ "allowed_amount": 113.00, "providers":[{ "billed_charge": 230.00, "npi": [1912439191] }] }] },{ "tin": { "type": "ein", "value": "264339610" }, "service_code": ["21"], "billing_class": "professional", "payments":[{ "allowed_amount": 113.00, "billing_code_modifier": ["25"], "providers":[{ "billed_charge": 321.00, "npi": [1174027874,1750841169] }] }] },{ "tin": { "type": "ein", "value": "363097297" }, "service_code": ["21"], "billing_class": "professional", "payments":[{ "allowed_amount": 118.94, "providers":[{ "billed_charge": 311.00, "npi": [1285075820,1922758671] }] }] },{ "tin": { "type": "ein", "value": "412621607" }, "service_code": ["21"], "billing_class": "professional", "payments":[{ "allowed_amount": 0.00, "providers":[{ "billed_charge": 1081.67, "npi": [1679927578] }] }] },{ "tin": { "type": "ein", "value": "455557052" }, "service_code": ["21"], "billing_class": "professional", "payments":[{ "allowed_amount": 0.00, "providers":[{ "billed_charge": 529.50, "npi": [1932558285] }] }] },{ "tin": { "type": "ein", "value": "471497384" }, "service_code": ["21"], "billing_class": "professional", "payments":[{ "allowed_amount": 109.01, "billing_code_modifier": ["GC"], "providers":[{ "billed_charge": 268.46, "npi": [1306417027] }] },{ "allowed_amount": 116.99, "billing_code_modifier": ["GC"], "providers":[{ "billed_charge": 268.46, "npi": [1306417027] }] }] },{ "tin": { "type": "ein", "value": "813419791" }, "service_code": ["21"], "billing_class": "professional", "payments":[{ "allowed_amount": 113.00, "providers":[{ "billed_charge": 360.00, "npi": [1013543248] }] }] },{ "tin": { "type": "ein", "value": "813574137" }, "service_code": ["51"], "billing_class": "professional", "payments":[{ "allowed_amount": 105.90, "providers":[{ "billed_charge": 594.30, "npi": [1700934825] }] },{ "allowed_amount": 113.00, "providers":[{ "billed_charge": 594.30, "npi": [1700934825] }] }] },{ "tin": { "type": "ein", "value": "880136773" }, "service_code": ["21"], "billing_class": "professional", "payments":[{ "allowed_amount": 96.05, "providers":[{ "billed_charge": 316.00, "npi": [1578004024] }] },{ "allowed_amount": 112.29, "providers":[{ "billed_charge": 316.00, "npi": [1255786513] }] },{ "allowed_amount": 119.51, "providers":[{ "billed_charge": 316.00, "npi": [1942363791] }] },{ "allowed_amount": 0.00, "providers":[{ "billed_charge": 316.00, "npi": [1578004024,1699707463] }] },{ "allowed_amount": 113.00, "providers":[{ "billed_charge": 316.00, "npi": [1164546719,1699707463,1790775682] }] }] },{ "tin": { "type": "ein", "value": "886000436" }, "service_code": ["21"], "billing_class": "professional", "payments":[{ "allowed_amount": 0.00, "providers":[{ "billed_charge": 407.00, "npi": [1184034159,1497942064,1548550718,1588228076,1871096628,1881795425,1922180595] }] },{ "allowed_amount": 113.00, "billing_code_modifier": ["25"], "providers":[{ "billed_charge": 407.00, "npi": [1548550718] }] },{ "allowed_amount": 113.00, "providers":[{ "billed_charge": 407.00, "npi": [1184034159,1497942064,1548550718,1871096628,1881795425,1922180595] }] }] },{ "tin": { "type": "ein", "value": "921781602" }, "service_code": ["21"], "billing_class": "professional", "payments":[{ "allowed_amount": 96.05, "providers":[{ "billed_charge": 227.00, "npi": [1023421120] }] }] },{ "tin": { "type": "ein", "value": "921874425" }, "service_code": ["21"], "billing_class": "professional", "payments":[{ "allowed_amount": 105.90, "providers":[{ "billed_charge": 228.00, "npi": [1063755106] }] }] },{ "tin": { "type": "ein", "value": "923641643" }, "service_code": ["21"], "billing_class": "professional", "payments":[{ "allowed_amount": 111.20, "providers":[{ "billed_charge": 1023.39, "npi": [1710947254] }] }] },{ "tin": { "type": "ein", "value": "941450151" }, "service_code": ["22"], "billing_class": "professional", "payments":[{ "allowed_amount": 118.87, "providers":[{ "billed_charge": 195.00, "npi": [1063504348] }] }] }] },{ "name": "PB EMERGENCY DEPT VISIT,LEVEL III", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "99283", "description": "Emergency Dept Visit,Level III", "allowed_amounts":[{ "tin": { "type": "ein", "value": "362179779" }, "service_code": ["23"], "billing_class": "institutional", "payments":[{ "allowed_amount": 290.78, "providers":[{ "billed_charge": 1924.00, "npi": [1124025176] }] }] },{ "tin": { "type": "ein", "value": "383924217" }, "service_code": ["23"], "billing_class": "professional", "payments":[{ "allowed_amount": 57.33, "providers":[{ "billed_charge": 853.00, "npi": [1467484139] }] }] },{ "tin": { "type": "ein", "value": "454989022" }, "service_code": ["23"], "billing_class": "institutional", "payments":[{ "allowed_amount": 296.92, "providers":[{ "billed_charge": 1550.00, "npi": [1801152566] }] },{ "allowed_amount": 306.01, "providers":[{ "billed_charge": 1550.00, "npi": [1801152566] }] }] },{ "tin": { "type": "ein", "value": "461602672" }, "service_code": ["23"], "billing_class": "professional", "payments":[{ "allowed_amount": 67.29, "providers":[{ "billed_charge": 686.00, "npi": [1881688471] }] }] },{ "tin": { "type": "ein", "value": "814791043" }, "service_code": ["23"], "billing_class": "institutional", "payments":[{ "allowed_amount": 349.37, "providers":[{ "billed_charge": 3267.00, "npi": [1609858950] }] }] },{ "tin": { "type": "ein", "value": "840417134" }, "service_code": ["23"], "billing_class": "institutional", "payments":[{ "allowed_amount": 278.27, "billing_code_modifier": ["25"], "providers":[{ "billed_charge": 4547.39, "npi": [1417946021] }] }] },{ "tin": { "type": "ein", "value": "841343242" }, "service_code": ["23"], "billing_class": "professional", "payments":[{ "allowed_amount": 68.37, "billing_code_modifier": ["FS"], "providers":[{ "billed_charge": 206.00, "npi": [1811767072] }] }] },{ "tin": { "type": "ein", "value": "841343242" }, "service_code": ["23"], "billing_class": "institutional", "payments":[{ "allowed_amount": 278.27, "providers":[{ "billed_charge": 2616.77, "npi": [1689624686] }] }] },{ "tin": { "type": "ein", "value": "853780150" }, "service_code": ["23"], "billing_class": "professional", "payments":[{ "allowed_amount": 73.68, "billing_code_modifier": ["25"], "providers":[{ "billed_charge": 853.00, "npi": [1073612065] }] },{ "allowed_amount": 73.68, "providers":[{ "billed_charge": 853.00, "npi": [1033600168,1336535897] }] }] },{ "tin": { "type": "ein", "value": "880159958" }, "service_code": ["23"], "billing_class": "institutional", "payments":[{ "allowed_amount": 338.13, "billing_code_modifier": ["ER"], "providers":[{ "billed_charge": 1858.00, "npi": [1548250582] }] },{ "allowed_amount": 338.13, "providers":[{ "billed_charge": 1858.00, "npi": [1689229353] }] }] },{ "tin": { "type": "ein", "value": "880159958" }, "service_code": ["23"], "billing_class": "institutional", "payments":[{ "allowed_amount": 349.29, "billing_code_modifier": ["ER"], "providers":[{ "billed_charge": 1689.00, "npi": [1952049132] }] },{ "allowed_amount": 349.29, "providers":[{ "billed_charge": 1689.00, "npi": [1952049132] }] }] },{ "tin": { "type": "ein", "value": "880159958" }, "service_code": ["23"], "billing_class": "institutional", "payments":[{ "allowed_amount": 349.29, "providers":[{ "billed_charge": 1689.00, "npi": [1548250582] }] },{ "allowed_amount": 0.00, "providers":[{ "billed_charge": 1689.00, "npi": [1548250582] }] }] },{ "tin": { "type": "ein", "value": "880159958" }, "service_code": ["23"], "billing_class": "institutional", "payments":[{ "allowed_amount": 0.00, "billing_code_modifier": ["ER"], "providers":[{ "billed_charge": 1689.00, "npi": [1346934569] }] }] },{ "tin": { "type": "ein", "value": "951675600" }, "service_code": ["23"], "billing_class": "institutional", "payments":[{ "allowed_amount": 351.82, "providers":[{ "billed_charge": 1376.00, "npi": [1336173269] }] }] }] },{ "name": "PB EMERGENCY DEPT VISIT,LEVEL IV", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "99284", "description": "Emergency Dept Visit,Level IV", "allowed_amounts":[{ "tin": { "type": "ein", "value": "202319275" }, "service_code": ["23"], "billing_class": "professional", "payments":[{ "allowed_amount": 400.00, "billing_code_modifier": ["25"], "providers":[{ "billed_charge": 1026.00, "npi": [1164085270] }] }] },{ "tin": { "type": "ein", "value": "363097297" }, "service_code": ["23"], "billing_class": "professional", "payments":[{ "allowed_amount": 127.04, "providers":[{ "billed_charge": 365.00, "npi": [1518357276] }] }] },{ "tin": { "type": "ein", "value": "363386394" }, "service_code": ["23"], "billing_class": "institutional", "payments":[{ "allowed_amount": 443.07, "billing_code_modifier": ["25"], 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