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"professional", "payments":[{ "allowed_amount": 72.71, "billing_code_modifier": ["GC"], "providers":[{ "billed_charge": 296.00, "npi": [1588871990,1629395801] }] }] },{ "tin": { "type": "ein", "value": "680365846" }, "service_code": ["21"], "billing_class": "professional", "payments":[{ "allowed_amount": 72.71, "providers":[{ "billed_charge": 185.00, "npi": [1780941914] }] }] },{ "tin": { "type": "ein", "value": "825058478" }, "service_code": ["21"], "billing_class": "professional", "payments":[{ "allowed_amount": 0.00, "providers":[{ "billed_charge": 140.00, "npi": [1922234228] }] }] },{ "tin": { "type": "ein", "value": "844379776" }, "service_code": ["21"], "billing_class": "professional", "payments":[{ "allowed_amount": 0.00, "providers":[{ "billed_charge": 250.00, "npi": [1811296585,1902284870] }] }] },{ "tin": { "type": "ein", "value": "900730397" }, "service_code": ["21"], "billing_class": "professional", "payments":[{ "allowed_amount": 0.00, "billing_code_modifier": ["FS"], "providers":[{ "billed_charge": 237.00, "npi": [1689084774,1881257566] }] },{ "allowed_amount": 0.00, "providers":[{ "billed_charge": 237.00, "npi": [1174956890,1760618730] }] }] },{ "tin": { "type": "ein", "value": "990176859" }, "service_code": ["21"], "billing_class": "professional", "payments":[{ "allowed_amount": 70.62, "providers":[{ "billed_charge": 155.36, "npi": [1194295170,1861650764] }] }] }] },{ "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": "260755054" }, "service_code": ["21"], "billing_class": "professional", "payments":[{ "allowed_amount": 105.90, "providers":[{ "billed_charge": 1054.09, "npi": [1699025171] }] }] },{ "tin": { "type": "ein", "value": "263303591" }, "service_code": ["21", "23"], "billing_class": "professional", "payments":[{ "allowed_amount": 105.90, "providers":[{ "billed_charge": 230.00, "npi": [1063499440,1124290317,1275659989] }] }] },{ "tin": { "type": "ein", "value": "263668328" }, "service_code": ["21"], "billing_class": "professional", "payments":[{ "allowed_amount": 109.43, "providers":[{ "billed_charge": 320.00, "npi": [1851036966] }] },{ "allowed_amount": 0.00, "providers":[{ "billed_charge": 320.00, "npi": [1053061143,1225404528,1851036966] }] },{ "allowed_amount": 105.90, "billing_code_modifier": ["GC"], "providers":[{ "billed_charge": 320.00, "npi": [1437710357] }] },{ "allowed_amount": 105.90, "providers":[{ "billed_charge": 320.00, "npi": [1457091407,1669009742] }] }] },{ "tin": { "type": "ein", "value": "264339610" }, "service_code": ["21"], "billing_class": "professional", "payments":[{ "allowed_amount": 105.90, "billing_code_modifier": ["25"], "providers":[{ "billed_charge": 321.00, "npi": [1174027874,1750841169] }] }] },{ "tin": { "type": "ein", "value": "461203260" }, "service_code": ["21"], "billing_class": "professional", "payments":[{ "allowed_amount": 0.00, "providers":[{ "billed_charge": 241.00, "npi": [1114241973,1376002113] }] },{ "allowed_amount": 105.90, "providers":[{ "billed_charge": 241.00, "npi": [1376002113,1942731526] }] }] },{ "tin": { "type": "ein", "value": "471182996" }, "service_code": ["21"], "billing_class": "professional", "payments":[{ "allowed_amount": 105.90, "providers":[{ "billed_charge": 315.00, "npi": [1164809729] }] }] },{ "tin": { "type": "ein", "value": "471497384" }, "service_code": ["21"], "billing_class": "professional", "payments":[{ "allowed_amount": 93.73, "billing_code_modifier": ["24", "FS"], "providers":[{ "billed_charge": 268.46, "npi": [1780103903] }] },{ "allowed_amount": 110.28, "billing_code_modifier": ["GC"], "providers":[{ "billed_charge": 268.46, "npi": [1760860357] }] }] },{ "tin": { "type": "ein", "value": "473689506" }, "service_code": ["21"], "billing_class": "professional", "payments":[{ "allowed_amount": 0.00, "providers":[{ "billed_charge": 306.70, "npi": [1336635937,1346077815,1699976522] }] }] },{ "tin": { "type": "ein", "value": "680365846" }, "service_code": ["21"], "billing_class": "professional", "payments":[{ "allowed_amount": 110.35, "providers":[{ "billed_charge": 267.00, "npi": [1265995336,1841261096] }] }] },{ "tin": { "type": "ein", "value": "770465765" }, "service_code": ["21"], "billing_class": "professional", "payments":[{ "allowed_amount": 121.23, "billing_code_modifier": ["FS"], "providers":[{ "billed_charge": 422.00, "npi": [1437166592] }] },{ "allowed_amount": 121.23, "providers":[{ "billed_charge": 422.00, "npi": [1437166592] }] }] },{ "tin": { "type": "ein", "value": "825058478" }, "service_code": ["21"], "billing_class": "professional", "payments":[{ "allowed_amount": 0.00, "providers":[{ "billed_charge": 200.00, "npi": [1922234228] }] }] },{ "tin": { "type": "ein", "value": "841343242" }, "service_code": ["21"], "billing_class": "professional", "payments":[{ "allowed_amount": 107.85, "billing_code_modifier": ["FS", "GC"], "providers":[{ "billed_charge": 233.00, "npi": [1790289767] }] }] },{ "tin": { "type": "ein", "value": "921781602" }, "service_code": ["21"], "billing_class": "professional", "payments":[{ "allowed_amount": 90.01, "providers":[{ "billed_charge": 227.00, "npi": [1023421120] }] }] },{ "tin": { "type": "ein", "value": "990176859" }, "service_code": ["21"], "billing_class": "professional", "payments":[{ "allowed_amount": 107.19, "billing_code_modifier": ["Q6"], "providers":[{ "billed_charge": 233.65, "npi": [1447458351] }] },{ "allowed_amount": 107.19, "providers":[{ "billed_charge": 233.65, "npi": [1194295170,1861650764] }] },{ "allowed_amount": 109.78, "billing_code_modifier": ["Q6"], "providers":[{ "billed_charge": 233.65, "npi": [1447458351] }] }] }] },{ "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": "262583411" }, "service_code": ["23"], "billing_class": "institutional", "payments":[{ "allowed_amount": 534.04, "billing_code_modifier": ["25"], "providers":[{ "billed_charge": 3573.47, "npi": [1659538858] }] }] },{ "tin": { "type": "ein", "value": "394560753" }, "service_code": ["23"], "billing_class": "professional", "payments":[{ "allowed_amount": 98.86, "providers":[{ "billed_charge": 1129.57, "npi": [1043947062] }] },{ "allowed_amount": 117.43, "providers":[{ "billed_charge": 1129.57, "npi": [1538689419] }] },{ "allowed_amount": 116.30, "providers":[{ "billed_charge": 1129.57, "npi": [1023638988,1073612065,1104566926,1184200602,1306880836,1346746278,1366766099,1538801469,1588126684,1629412382,1659337350,1750337531,1801094495,1801116249,1841797610,1891138418,1902365992] }] }] },{ "tin": { "type": "ein", "value": "454989022" }, "service_code": ["23"], "billing_class": "institutional", "payments":[{ "allowed_amount": 453.87, "billing_code_modifier": ["25"], "providers":[{ "billed_charge": 2590.00, "npi": [1801152566] }] },{ "allowed_amount": 453.87, "providers":[{ "billed_charge": 2590.00, "npi": [1801152566] }] }] },{ "tin": { "type": "ein", "value": "475273455" }, "service_code": ["23"], "billing_class": "professional", "payments":[{ "allowed_amount": 117.74, "providers":[{ "billed_charge": 852.00, "npi": [1851852784] }] }] },{ "tin": { "type": "ein", "value": "742161737" }, "service_code": ["23"], "billing_class": "professional", "payments":[{ "allowed_amount": 117.74, "providers":[{ "billed_charge": 473.00, "npi": [1205888187,1245491109] }] }] },{ "tin": { "type": "ein", "value": "753010206" }, "service_code": ["23"], "billing_class": "professional", "payments":[{ "allowed_amount": 126.83, "providers":[{ "billed_charge": 1100.00, "npi": [1588669402] }] }] },{ "tin": { "type": "ein", "value": "841343242" }, "service_code": ["23"], "billing_class": "professional", "payments":[{ "allowed_amount": 117.74, "billing_code_modifier": ["QJ", "FS"], "providers":[{ "billed_charge": 323.36, "npi": [1871847384] }] },{ "allowed_amount": 117.74, "billing_code_modifier": ["QJ", "FS", "GC"], "providers":[{ "billed_charge": 323.36, "npi": [1437739604] }] },{ "allowed_amount": 117.74, "billing_code_modifier": ["FS", "GC"], "providers":[{ "billed_charge": 323.36, "npi": [1497094148] }] }] },{ "tin": { "type": "ein", "value": "880159958" }, "service_code": ["23"], "billing_class": "institutional", "payments":[{ "allowed_amount": 516.85, "billing_code_modifier": ["25"], "providers":[{ "billed_charge": 2803.00, "npi": [1952049132] }] },{ "allowed_amount": 516.85, "billing_code_modifier": ["25", "ER"], "providers":[{ "billed_charge": 2803.00, "npi": [1952049132] }] }] },{ "tin": { "type": "ein", "value": "880159958" }, "service_code": ["23"], "billing_class": "institutional", "payments":[{ "allowed_amount": 516.85, "billing_code_modifier": ["25"], "providers":[{ "billed_charge": 2803.00, "npi": [1548250582] }] }] },{ "tin": { "type": "ein", "value": "880176558" }, "service_code": ["23"], "billing_class": "professional", "payments":[{ "allowed_amount": 116.30, "providers":[{ "billed_charge": 1349.00, "npi": [1407112048,1689658270,1790302867] }] }] },{ "tin": { "type": "ein", "value": "910885450" }, "service_code": ["23"], "billing_class": "professional", "payments":[{ "allowed_amount": 124.09, "providers":[{ "billed_charge": 815.00, "npi": [1922125178] }] }] },{ "tin": { "type": "ein", "value": "916000986" }, "service_code": ["23"], "billing_class": "institutional", "payments":[{ "allowed_amount": 0.00, "billing_code_modifier": ["25"], "providers":[{ "billed_charge": 3250.00, "npi": [1649209230] }] }] }] },{ "name": "PB EMERGENCY DEPT VISIT,LEVEL V", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "99285", "description": "Emergency Dept Visit,Level V", "allowed_amounts":[{ "tin": { "type": "ein", "value": "394560753" }, "service_code": ["23"], "billing_class": "professional", "payments":[{ "allowed_amount": 168.69, "providers":[{ "billed_charge": 1722.27, "npi": [1013539931,1104566926,1184200602,1295312999,1366766099,1538689419,1659337350,1831839935,1851898258] }] },{ "allowed_amount": 170.40, "providers":[{ "billed_charge": 1722.27, "npi": [1538689419] }] }] },{ "tin": { "type": "ein", "value": "454989022" }, "service_code": ["23"], "billing_class": "institutional", "payments":[{ "allowed_amount": 647.77, "billing_code_modifier": ["25"], "providers":[{ "billed_charge": 3691.00, "npi": [1801152566] }] },{ "allowed_amount": 647.77, "providers":[{ "billed_charge": 3691.00, "npi": [1801152566] }] }] },{ "tin": { "type": "ein", "value": "475273455" }, "service_code": ["23"], "billing_class": "professional", "payments":[{ "allowed_amount": 170.83, "providers":[{ "billed_charge": 1255.00, "npi": [1083697783,1346650181] }] }] },{ "tin": { "type": "ein", "value": "752807737" }, "service_code": ["23"], "billing_class": "professional", "payments":[{ "allowed_amount": 143.39, "providers":[{ "billed_charge": 1888.00, "npi": [1326407768] }] },{ "allowed_amount": 184.29, "providers":[{ "billed_charge": 1888.00, "npi": [1821044629] }] }] },{ "tin": { "type": "ein", "value": "841343242" }, "service_code": ["23"], "billing_class": "institutional", "payments":[{ "allowed_amount": 0.00, "billing_code_modifier": ["QJ", "25"], "providers":[{ "billed_charge": 8852.45, "npi": [1568563278] }] }] },{ "tin": { "type": "ein", "value": "860260959" }, "service_code": ["23"], "billing_class": "institutional", "payments":[{ "allowed_amount": 0.00, "billing_code_modifier": ["25"], "providers":[{ "billed_charge": 2585.00, "npi": [1053684555] }] }] },{ "tin": { "type": "ein", "value": "880159958" }, "service_code": ["23"], "billing_class": "institutional", "payments":[{ "allowed_amount": 737.68, "billing_code_modifier": ["25"], "providers":[{ "billed_charge": 5628.00, "npi": [1689229353] }] },{ "allowed_amount": 737.68, "providers":[{ "billed_charge": 5628.00, "npi": [1689229353] }] }] },{ "tin": { "type": "ein", "value": "880159958" }, "service_code": ["23"], "billing_class": "institutional", "payments":[{ "allowed_amount": 737.68, "billing_code_modifier": ["25"], "providers":[{ "billed_charge": 5628.00, "npi": [1952049132] }] }] },{ "tin": { "type": "ein", "value": "880159958" }, "service_code": ["23"], "billing_class": "institutional", "payments":[{ "allowed_amount": 737.68, "billing_code_modifier": ["25"], "providers":[{ "billed_charge": 5628.00, "npi": [1548250582] }] },{ "allowed_amount": 0.00, "billing_code_modifier": ["25"], "providers":[{ "billed_charge": 5628.00, "npi": [1366232993,1366766099,1609451327] }] }] },{ "tin": { "type": "ein", "value": "880159958" }, "service_code": ["23"], "billing_class": "institutional", "payments":[{ "allowed_amount": 0.00, "billing_code_modifier": ["25"], "providers":[{ "billed_charge": 5628.00, "npi": [1609451327] }] }] },{ "tin": { "type": "ein", "value": "880176558" }, "service_code": ["23"], "billing_class": "professional", "payments":[{ "allowed_amount": 168.69, "providers":[{ "billed_charge": 1955.00, "npi": [1043310998] },{ "billed_charge": 2083.00, "npi": [1407112048,1790302867,1811283427] }] }] },{ "tin": { "type": "ein", "value": "942494000" }, "service_code": ["23"], "billing_class": "professional", "payments":[{ "allowed_amount": 168.26, "billing_code_modifier": ["25"], "providers":[{ "billed_charge": 1415.00, "npi": [1083810857] }] }] },{ "tin": { "type": "ein", "value": "943391400" }, "service_code": ["23"], "billing_class": "professional", "payments":[{ "allowed_amount": 183.72, "billing_code_modifier": ["25"], "providers":[{ "billed_charge": 1165.00, "npi": [1154783371] }] }] },{ "tin": { "type": "ein", "value": "951675600" }, "service_code": ["23"], "billing_class": "institutional", "payments":[{ "allowed_amount": 762.20, "billing_code_modifier": ["25"], "providers":[{ "billed_charge": 8152.00, "npi": [1336173269] }] }] },{ "tin": { "type": "ein", "value": "992530371" }, "service_code": ["23"], "billing_class": "professional", "payments":[{ "allowed_amount": 168.69, "providers":[{ "billed_charge": 1415.00, "npi": [1194784397] }] }] }] },{ "name": "PB 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": "394560753" }, "service_code": ["23"], "billing_class": "professional", "payments":[{ "allowed_amount": 196.54, "providers":[{ "billed_charge": 2456.43, "npi": [1336535897] }] }] },{ "tin": { "type": "ein", "value": "394656216" }, "service_code": ["23"], "billing_class": "professional", "payments":[{ "allowed_amount": 196.54, "providers":[{ "billed_charge": 2456.43, "npi": [1558821272] }] }] },{ "tin": { "type": "ein", "value": "680334324" }, "service_code": ["21"], "billing_class": "professional", "payments":[{ "allowed_amount": 202.80, "billing_code_modifier": ["25"], "providers":[{ "billed_charge": 1043.00, "npi": [1013997030] }] },{ "allowed_amount": 202.80, "providers":[{ "billed_charge": 1043.00, "npi": [1447649769] }] }] },{ "tin": { "type": "ein", "value": "680334324" }, "service_code": ["21"], "billing_class": "professional", "payments":[{ "allowed_amount": 202.80, "billing_code_modifier": ["GC"], "providers":[{ "billed_charge": 1043.00, "npi": [1992090815] }] }] },{ "tin": { "type": "ein", "value": "680365846" }, "service_code": ["21"], "billing_class": "professional", "payments":[{ "allowed_amount": 202.80, "providers":[{ "billed_charge": 570.00, "npi": [1316993199,1609851120] }] }] },{ "tin": { "type": "ein", "value": "770465765" }, "service_code": ["21"], "billing_class": "professional", "payments":[{ "allowed_amount": 221.10, "billing_code_modifier": ["25"], "providers":[{ "billed_charge": 1668.00, "npi": [1104358225,1194144758] }] },{ "allowed_amount": 221.10, "billing_code_modifier": ["FS"], 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