{"reporting_entity_name": "GIIC_TPA","reporting_entity_type": "GIIC_TPA","last_updated_on": "2026-10-07","version": "1.0.0","out_of_network":[{"name":"Albumin; urine (eg, microalbumin), quantitative","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82043","description":"Albumin; urine (eg, microalbumin), quantitative","allowed_amounts":[{"tin":{"type":"ein","value":"330599494"},"service_code":[],"billing_class":"institutional","payments":[{"allowed_amount":60.96,"providers":[{"billed_charge":117.00,"npi":[1184722779]}]}]}]},{"name":"Ambulance Service Basic Life Support\/Emergency","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0429RH","description":"Ambulance Service Basic Life Support\/Emergency","allowed_amounts":[{"tin":{"type":"ein","value":"231667465"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":606.42,"providers":[{"billed_charge":850.00,"npi":[1275523441]}]},{"allowed_amount":850.00,"providers":[{"billed_charge":850.00,"npi":[1275523441]}]}]}]},{"name":"Ambulance Service Basic Life Support\/Emergency","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0429RH","description":"Ambulance Service Basic Life Support\/Emergency","allowed_amounts":[{"tin":{"type":"ein","value":"232180872"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":606.42,"providers":[{"billed_charge":850.00,"npi":[1053316398]}]}]}]},{"name":"Ambulance Service Basic Life Support\/Emergency","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0429SH","description":"Ambulance Service Basic Life Support\/Emergency","allowed_amounts":[{"tin":{"type":"ein","value":"231667465"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":850.00,"providers":[{"billed_charge":850.00,"npi":[1275523441]}]}]}]},{"name":"Ambulance Service,Advanced Life Support\/Emergency Level 1","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0427RH","description":"Ambulance Service,Advanced Life Support\/Emergency Level 1","allowed_amounts":[{"tin":{"type":"ein","value":"231667465"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":524.92,"providers":[{"billed_charge":1425.00,"npi":[1275523441]}]},{"allowed_amount":1425.00,"providers":[{"billed_charge":1425.00,"npi":[1275523441]}]}]}]},{"name":"Ambulance Service,Advanced Life Support\/Emergency Level 1","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0427SH","description":"Ambulance Service,Advanced Life Support\/Emergency Level 1","allowed_amounts":[{"tin":{"type":"ein","value":"231667465"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":518.07,"providers":[{"billed_charge":1425.00,"npi":[1275523441]}]}]}]},{"name":"Anesthesia","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0370","description":"Anesthesia","allowed_amounts":[{"tin":{"type":"ein","value":"370635502"},"service_code":[],"billing_class":"institutional","payments":[{"allowed_amount":0.00,"providers":[{"billed_charge":4500.00,"npi":[1982796181]}]}]}]},{"name":"Anesthesia","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0370","description":"Anesthesia","allowed_amounts":[{"tin":{"type":"ein","value":"840405257"},"service_code":[],"billing_class":"institutional","payments":[{"allowed_amount":0.00,"providers":[{"billed_charge":1407.36,"npi":[1801591391]}]}]}]},{"name":"Antinuclear antibodies","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86038","description":"Antinuclear antibodies","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":15.53,"providers":[{"billed_charge":90.30,"npi":[1063497451]}]}]}]},{"name":"Assay of blood\/uric acid","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84550","description":"Assay of blood\/uric acid","allowed_amounts":[{"tin":{"type":"ein","value":"330599494"},"service_code":[],"billing_class":"institutional","payments":[{"allowed_amount":12.50,"providers":[{"billed_charge":24.00,"npi":[1184722779]}]}]}]},{"name":"Assay of ck (cpk)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82550","description":"Assay of ck (cpk)","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.36,"providers":[{"billed_charge":38.85,"npi":[1063497451]}]}]}]},{"name":"Assay of estradiol","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82670","description":"Assay of estradiol","allowed_amounts":[{"tin":{"type":"ein","value":"382084239"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":35.28,"providers":[{"billed_charge":268.89,"npi":[1932166386]}]}]}]},{"name":"Assay of estradiol","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82670","description":"Assay of estradiol","allowed_amounts":[{"tin":{"type":"ein","value":"999999999"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":190.00,"providers":[{"billed_charge":190.00,"npi":[]}]}]}]},{"name":"Assay of ferritin","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82728","description":"Assay of ferritin","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":17.50,"providers":[{"billed_charge":82.95,"npi":[1063497451]},{"billed_charge":89.32,"npi":[1063497451]}]}]}]},{"name":"Assay of ferritin","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82728","description":"Assay of ferritin","allowed_amounts":[{"tin":{"type":"ein","value":"382084239"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":17.21,"providers":[{"billed_charge":135.12,"npi":[1932166386]}]}]}]},{"name":"Assay of ferritin","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82728","description":"Assay of ferritin","allowed_amounts":[{"tin":{"type":"ein","value":"520890739"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":17.04,"providers":[{"billed_charge":128.69,"npi":[1245307818]}]}]}]},{"name":"Assay of ferritin","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82728","description":"Assay of ferritin","allowed_amounts":[{"tin":{"type":"ein","value":"561118388"},"service_code":[],"billing_class":"institutional","payments":[{"allowed_amount":47.30,"providers":[{"billed_charge":68.00,"npi":[1932208576]}]}]}]},{"name":"Assay of folic acid serum","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82746","description":"Assay of folic acid serum","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":18.90,"providers":[{"billed_charge":104.21,"npi":[1063497451]}]}]}]},{"name":"Assay of folic acid serum","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82746","description":"Assay of folic acid serum","allowed_amounts":[{"tin":{"type":"ein","value":"382084239"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":18.56,"providers":[{"billed_charge":141.88,"npi":[1932166386]}]}]}]},{"name":"Assay of folic acid serum","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82746","description":"Assay of folic acid serum","allowed_amounts":[{"tin":{"type":"ein","value":"520890739"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":18.38,"providers":[{"billed_charge":135.12,"npi":[1245307818]}]}]}]},{"name":"Assay of free testosterone","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84402","description":"Assay of free testosterone","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.72,"providers":[{"billed_charge":184.48,"npi":[1063497451]}]}]}]},{"name":"Assay of free testosterone","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84402","description":"Assay of free testosterone","allowed_amounts":[{"tin":{"type":"ein","value":"382084239"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.96,"providers":[{"billed_charge":169.02,"npi":[1932166386]}]}]}]},{"name":"Assay of free thyroxine","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84439","description":"Assay of free thyroxine","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.59,"providers":[{"billed_charge":71.45,"npi":[1538144910]}]}]}]},{"name":"Assay of free thyroxine","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84439","description":"Assay of free thyroxine","allowed_amounts":[{"tin":{"type":"ein","value":"340714585"},"service_code":[],"billing_class":"institutional","payments":[{"allowed_amount":47.20,"providers":[{"billed_charge":59.00,"npi":[1679525919]}]}]}]},{"name":"Assay of free thyroxine","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84439","description":"Assay of free thyroxine","allowed_amounts":[{"tin":{"type":"ein","value":"382084239"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.39,"providers":[{"billed_charge":175.64,"npi":[1932166386]}]}]}]},{"name":"Assay of free thyroxine","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84439","description":"Assay of free thyroxine","allowed_amounts":[{"tin":{"type":"ein","value":"560552787"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":33.62,"providers":[{"billed_charge":82.00,"npi":[1609162098]}]}]}]},{"name":"Assay of gonadotropin (fsh)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83001","description":"Assay of gonadotropin (fsh)","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":23.90,"providers":[{"billed_charge":110.96,"npi":[1063497451]}]}]}]},{"name":"Assay of gonadotropin (fsh)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83001","description":"Assay of gonadotropin (fsh)","allowed_amounts":[{"tin":{"type":"ein","value":"999999999"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":190.00,"providers":[{"billed_charge":190.00,"npi":[]}]}]}]},{"name":"Assay of gonadotropin (lh)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83002","description":"Assay of gonadotropin (lh)","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":23.82,"providers":[{"billed_charge":110.59,"npi":[1063497451]}]}]}]},{"name":"Assay of gonadotropin (lh)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83002","description":"Assay of gonadotropin (lh)","allowed_amounts":[{"tin":{"type":"ein","value":"999999999"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":190.00,"providers":[{"billed_charge":190.00,"npi":[]}]}]}]},{"name":"Assay of iron","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83540","description":"Assay of iron","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.32,"providers":[{"billed_charge":33.08,"npi":[1063497451]},{"billed_charge":39.45,"npi":[1063497451]}]}]}]},{"name":"Assay of iron","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83540","description":"Assay of iron","allowed_amounts":[{"tin":{"type":"ein","value":"520890739"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.09,"providers":[{"billed_charge":43.54,"npi":[1245307818]}]}]}]},{"name":"Assay of iron","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83540","description":"Assay of iron","allowed_amounts":[{"tin":{"type":"ein","value":"561118388"},"service_code":[],"billing_class":"institutional","payments":[{"allowed_amount":22.52,"providers":[{"billed_charge":33.00,"npi":[1932208576]}]}]}]},{"name":"Assay of lipase","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83690","description":"Assay of lipase","allowed_amounts":[{"tin":{"type":"ein","value":"160743134"},"service_code":[],"billing_class":"institutional","payments":[{"allowed_amount":6.48,"providers":[{"billed_charge":38.40,"npi":[1255360517]}]}]}]},{"name":"Assay of lipoprotein(a)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83695","description":"Assay of lipoprotein(a)","allowed_amounts":[{"tin":{"type":"ein","value":"210635009"},"service_code":[],"billing_class":"institutional","payments":[{"allowed_amount":53.57,"providers":[{"billed_charge":143.00,"npi":[1689714255]}]}]}]},{"name":"Assay of magnesium","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83735","description":"Assay of magnesium","allowed_amounts":[{"tin":{"type":"ein","value":"561118388"},"service_code":[],"billing_class":"institutional","payments":[{"allowed_amount":0.00,"providers":[{"billed_charge":24.00,"npi":[1932208576]}]}]}]},{"name":"Assay of prolactin","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84146","description":"Assay of prolactin","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":24.91,"providers":[{"billed_charge":139.65,"npi":[1063497451]}]}]}]},{"name":"Assay of psa total","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84153","description":"Assay of psa total","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":23.64,"providers":[{"billed_charge":112.35,"npi":[1538144910]}]}]}]},{"name":"Assay of psa total","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84153","description":"Assay of psa total","allowed_amounts":[{"tin":{"type":"ein","value":"210635009"},"service_code":[],"billing_class":"institutional","payments":[{"allowed_amount":225.51,"providers":[{"billed_charge":602.00,"npi":[1689714255]}]}]}]},{"name":"Assay of psa total","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84153","description":"Assay of psa total","allowed_amounts":[{"tin":{"type":"ein","value":"382084239"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":23.22,"providers":[{"billed_charge":178.35,"npi":[1932166386]}]}]}]},{"name":"Assay of psa total","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84153","description":"Assay of psa total","allowed_amounts":[{"tin":{"type":"ein","value":"561118388"},"service_code":[],"billing_class":"institutional","payments":[{"allowed_amount":64.19,"providers":[{"billed_charge":90.00,"npi":[1932208576]}]}]}]},{"name":"Assay of total testosterone","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84403","description":"Assay of total testosterone","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":33.19,"providers":[{"billed_charge":162.75,"npi":[1538144910]},{"billed_charge":187.22,"npi":[1063497451]}]}]}]},{"name":"Assay of total testosterone","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84403","description":"Assay of total testosterone","allowed_amounts":[{"tin":{"type":"ein","value":"330599494"},"service_code":[],"billing_class":"institutional","payments":[{"allowed_amount":130.77,"providers":[{"billed_charge":251.00,"npi":[1184722779]}]}]}]},{"name":"Assay of total testosterone","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84403","description":"Assay of total testosterone","allowed_amounts":[{"tin":{"type":"ein","value":"382084239"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.58,"providers":[{"billed_charge":171.47,"npi":[1932166386]},{"billed_charge":264.83,"npi":[1932166386]}]}]}]},{"name":"Assay of urine creatinine","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82570","description":"Assay of urine creatinine","allowed_amounts":[{"tin":{"type":"ein","value":"330599494"},"service_code":[],"billing_class":"institutional","payments":[{"allowed_amount":66.17,"providers":[{"billed_charge":127.00,"npi":[1184722779]}]}]}]},{"name":"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":"210635009"},"service_code":[],"billing_class":"institutional","payments":[{"allowed_amount":206.78,"providers":[{"billed_charge":552.00,"npi":[1689714255]}]}]}]},{"name":"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":"340714585"},"service_code":[],"billing_class":"institutional","payments":[{"allowed_amount":87.20,"providers":[{"billed_charge":109.00,"npi":[1679525919]}]}]}]},{"name":"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":"382084239"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":21.21,"providers":[{"billed_charge":156.74,"npi":[1932166386]}]}]}]},{"name":"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":"561118388"},"service_code":[],"billing_class":"institutional","payments":[{"allowed_amount":0.00,"providers":[{"billed_charge":82.00,"npi":[1932208576]}]}]}]},{"name":"Behavioral health accommodations - residental treatment, psychiatric","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"1001","description":"Behavioral health accommodations - residental treatment, psychiatric","allowed_amounts":[{"tin":{"type":"ein","value":"650906732"},"service_code":[],"billing_class":"institutional","payments":[{"allowed_amount":950.00,"providers":[{"billed_charge":3600.00,"npi":[1811157886]}]}]}]},{"name":"Body mass index docd","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"3008F","description":"Body mass index docd","allowed_amounts":[{"tin":{"type":"ein","value":"133884168"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":0.00,"providers":[{"billed_charge":0.00,"npi":[1861419400]}]}]}]},{"name":"Body mass index docd","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"3008F","description":"Body mass index docd","allowed_amounts":[{"tin":{"type":"ein","value":"202265068"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":0.00,"providers":[{"billed_charge":0.00,"npi":[1831358654]}]}]}]},{"name":"Body mass index docd","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"3008F","description":"Body mass index docd","allowed_amounts":[{"tin":{"type":"ein","value":"272039417"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":0.00,"providers":[{"billed_charge":0.00,"npi":[1477530558]}]}]}]},{"name":"Body mass index docd","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"3008F","description":"Body mass index docd","allowed_amounts":[{"tin":{"type":"ein","value":"576000094"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":0.01,"npi":[1679568216]}]}]}]},{"name":"Breast tomosynthesis bi","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"77063","description":"Breast tomosynthesis bi","allowed_amounts":[{"tin":{"type":"ein","value":"210635009"},"service_code":[],"billing_class":"institutional","payments":[{"allowed_amount":64.85,"providers":[{"billed_charge":384.00,"npi":[1689714255]}]}]}]},{"name":"Breast tomosynthesis bi","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"77063","description":"Breast tomosynthesis bi","allowed_amounts":[{"tin":{"type":"ein","value":"275493321"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":77.28,"providers":[{"billed_charge":77.28,"npi":[1386313740]}]}]}]},{"name":"Breast tomosynthesis bi","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"77063","description":"Breast tomosynthesis bi","allowed_amounts":[{"tin":{"type":"ein","value":"330599494"},"service_code":[],"billing_class":"institutional","payments":[{"allowed_amount":141.19,"providers":[{"billed_charge":271.00,"npi":[1184722779]}]}]}]},{"name":"Breast tomosynthesis bi","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"77063","description":"Breast tomosynthesis bi","allowed_amounts":[{"tin":{"type":"ein","value":"412237441"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":224.64,"providers":[{"billed_charge":312.00,"npi":[1174054134]}]}]}]},{"name":"Brief emotional\/behav assmt","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"96127","description":"Brief emotional\/behav assmt","allowed_amounts":[{"tin":{"type":"ein","value":"042472266"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":14.00,"providers":[{"billed_charge":14.00,"npi":[1952625766]}]}]}]},{"name":"Brief emotional\/behav assmt","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"96127","description":"Brief emotional\/behav assmt","allowed_amounts":[{"tin":{"type":"ein","value":"131623978"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":18.11,"providers":[{"billed_charge":25.00,"npi":[1730613753]}]}]}]},{"name":"Brief emotional\/behav assmt","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"96127","description":"Brief emotional\/behav assmt","allowed_amounts":[{"tin":{"type":"ein","value":"202265068"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":8.90,"providers":[{"billed_charge":11.00,"npi":[1831358654]}]}]}]},{"name":"Brief emotional\/behav assmt","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"96127","description":"Brief emotional\/behav assmt","allowed_amounts":[{"tin":{"type":"ein","value":"272039417"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":7.71,"providers":[{"billed_charge":10.00,"npi":[1477530558]}]}]}]},{"name":"Brief emotional\/behav assmt","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"96127","description":"Brief emotional\/behav assmt","allowed_amounts":[{"tin":{"type":"ein","value":"870635460"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":13.16,"providers":[{"billed_charge":24.00,"npi":[1407586654]}]}]}]},{"name":"C-reactive protein","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86140","description":"C-reactive protein","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":6.65,"providers":[{"billed_charge":84.00,"npi":[1063497451]}]}]}]},{"name":"C-reactive protein","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86140","description":"C-reactive protein","allowed_amounts":[{"tin":{"type":"ein","value":"330599494"},"service_code":[],"billing_class":"institutional","payments":[{"allowed_amount":15.63,"providers":[{"billed_charge":30.00,"npi":[1184722779]}]}]}]},{"name":"C-reactive protein","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86140","description":"C-reactive protein","allowed_amounts":[{"tin":{"type":"ein","value":"340714585"},"service_code":[],"billing_class":"institutional","payments":[{"allowed_amount":27.40,"providers":[{"billed_charge":36.00,"npi":[1679525919]}]}]}]},{"name":"C-reactive protein","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86140","description":"C-reactive protein","allowed_amounts":[{"tin":{"type":"ein","value":"382084239"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":6.54,"providers":[{"billed_charge":90.54,"npi":[1932166386]}]}]}]},{"name":"Capillary blood draw","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36416","description":"Capillary blood draw","allowed_amounts":[{"tin":{"type":"ein","value":"272039417"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":0.00,"providers":[{"billed_charge":19.00,"npi":[1477530558]}]}]}]},{"name":"Chorionic gonadotropin test","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84702","description":"Chorionic gonadotropin test","allowed_amounts":[{"tin":{"type":"ein","value":"160743134"},"service_code":[],"billing_class":"institutional","payments":[{"allowed_amount":14.15,"providers":[{"billed_charge":83.83,"npi":[1255360517]}]}]}]},{"name":"Complete cbc automated","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85027","description":"Complete cbc automated","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.31,"providers":[{"billed_charge":31.83,"npi":[1063497451]},{"billed_charge":32.23,"npi":[1538144910]}]}]}]},{"name":"Complete cbc automated","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85027","description":"Complete cbc automated","allowed_amounts":[{"tin":{"type":"ein","value":"340714585"},"service_code":[],"billing_class":"institutional","payments":[{"allowed_amount":34.25,"providers":[{"billed_charge":45.00,"npi":[1679525919]}]}]}]},{"name":"Complete cbc w\/auto diff wbc","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85025","description":"Complete cbc w\/auto diff wbc","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.99,"providers":[{"billed_charge":38.92,"npi":[1063497451]}]}]}]},{"name":"Complete cbc w\/auto diff wbc","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85025","description":"Complete cbc w\/auto diff wbc","allowed_amounts":[{"tin":{"type":"ein","value":"160743134"},"service_code":[],"billing_class":"institutional","payments":[{"allowed_amount":7.30,"providers":[{"billed_charge":43.26,"npi":[1255360517]}]}]}]},{"name":"Complete cbc w\/auto diff wbc","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85025","description":"Complete cbc w\/auto diff wbc","allowed_amounts":[{"tin":{"type":"ein","value":"202265068"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":21.60,"providers":[{"billed_charge":27.00,"npi":[1326030438]}]}]}]},{"name":"Complete cbc w\/auto diff wbc","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85025","description":"Complete cbc w\/auto diff wbc","allowed_amounts":[{"tin":{"type":"ein","value":"210635009"},"service_code":[],"billing_class":"institutional","payments":[{"allowed_amount":95.52,"providers":[{"billed_charge":255.00,"npi":[1689714255]}]}]}]},{"name":"Complete cbc w\/auto diff wbc","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85025","description":"Complete cbc w\/auto diff wbc","allowed_amounts":[{"tin":{"type":"ein","value":"330599494"},"service_code":[],"billing_class":"institutional","payments":[{"allowed_amount":60.96,"providers":[{"billed_charge":117.00,"npi":[1184722779]}]}]}]},{"name":"Complete cbc w\/auto diff wbc","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85025","description":"Complete cbc w\/auto diff wbc","allowed_amounts":[{"tin":{"type":"ein","value":"472105584"},"service_code":[],"billing_class":"institutional","payments":[{"allowed_amount":33.56,"providers":[{"billed_charge":174.17,"npi":[1740686443]}]}]}]},{"name":"Complete cbc w\/auto diff wbc","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85025","description":"Complete cbc w\/auto diff wbc","allowed_amounts":[{"tin":{"type":"ein","value":"596014973"},"service_code":[],"billing_class":"institutional","payments":[{"allowed_amount":99.39,"providers":[{"billed_charge":350.00,"npi":[1134102080]}]}]}]},{"name":"Comprehen metabolic panel","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80053","description":"Comprehen metabolic panel","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.60,"providers":[{"billed_charge":48.30,"npi":[1538144910]},{"billed_charge":54.67,"npi":[1063497451]},{"billed_charge":61.43,"npi":[1063497451]}]}]}]},{"name":"Comprehen metabolic panel","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80053","description":"Comprehen metabolic panel","allowed_amounts":[{"tin":{"type":"ein","value":"160743134"},"service_code":[],"billing_class":"institutional","payments":[{"allowed_amount":9.93,"providers":[{"billed_charge":58.81,"npi":[1255360517]}]}]}]},{"name":"Comprehen metabolic panel","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80053","description":"Comprehen metabolic panel","allowed_amounts":[{"tin":{"type":"ein","value":"160743310"},"service_code":[],"billing_class":"institutional","payments":[{"allowed_amount":9.93,"providers":[{"billed_charge":155.00,"npi":[1013985399]}]}]}]},{"name":"Comprehen metabolic panel","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80053","description":"Comprehen metabolic panel","allowed_amounts":[{"tin":{"type":"ein","value":"202265068"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":7.68,"providers":[{"billed_charge":36.00,"npi":[1326030438]}]},{"allowed_amount":28.80,"providers":[{"billed_charge":36.00,"npi":[1326030438]}]}]}]},{"name":"Comprehen metabolic panel","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80053","description":"Comprehen metabolic panel","allowed_amounts":[{"tin":{"type":"ein","value":"210635009"},"service_code":[],"billing_class":"institutional","payments":[{"allowed_amount":119.12,"providers":[{"billed_charge":318.00,"npi":[1689714255]}]}]}]},{"name":"Comprehen metabolic panel","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80053","description":"Comprehen metabolic panel","allowed_amounts":[{"tin":{"type":"ein","value":"330599494"},"service_code":[],"billing_class":"institutional","payments":[{"allowed_amount":164.64,"providers":[{"billed_charge":316.00,"npi":[1184722779]}]}]}]},{"name":"Comprehen metabolic panel","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80053","description":"Comprehen metabolic panel","allowed_amounts":[{"tin":{"type":"ein","value":"340714585"},"service_code":[],"billing_class":"institutional","payments":[{"allowed_amount":55.55,"providers":[{"billed_charge":73.00,"npi":[1679525919]}]}]}]},{"name":"Comprehen metabolic panel","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80053","description":"Comprehen metabolic panel","allowed_amounts":[{"tin":{"type":"ein","value":"382084239"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.67,"providers":[{"billed_charge":105.79,"npi":[1932166386]}]}]}]},{"name":"Comprehen metabolic panel","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80053","description":"Comprehen metabolic panel","allowed_amounts":[{"tin":{"type":"ein","value":"421707837"},"service_code":[],"billing_class":"institutional","payments":[{"allowed_amount":142.72,"providers":[{"billed_charge":442.00,"npi":[1407897309]}]}]}]},{"name":"Comprehen metabolic panel","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80053","description":"Comprehen metabolic panel","allowed_amounts":[{"tin":{"type":"ein","value":"561118388"},"service_code":[],"billing_class":"institutional","payments":[{"allowed_amount":32.25,"providers":[{"billed_charge":43.00,"npi":[1932208576]}]}]}]},{"name":"Cptr ophth dx img post segmt","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92134","description":"Cptr ophth dx img post segmt","allowed_amounts":[{"tin":{"type":"ein","value":"042500346"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":40.51,"providers":[{"billed_charge":260.00,"npi":[1285811216]}]}]}]},{"name":"Cytopath c\/v auto fluid redo","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88175","description":"Cytopath c\/v auto fluid redo","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":34.05,"providers":[{"billed_charge":129.95,"npi":[1063497451]}]}]}]},{"name":"Cytopath c\/v auto fluid redo","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88175","description":"Cytopath c\/v auto fluid redo","allowed_amounts":[{"tin":{"type":"ein","value":"133884168"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":38.19,"providers":[{"billed_charge":75.00,"npi":[1871565101]}]}]}]},{"name":"Cytopath c\/v auto fluid redo","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88175","description":"Cytopath c\/v auto fluid redo","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":34.05,"providers":[{"billed_charge":95.00,"npi":[1740262880]}]}]}]},{"name":"Dehydroepiandrosterone","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82627","description":"Dehydroepiandrosterone","allowed_amounts":[{"tin":{"type":"ein","value":"382084239"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":28.07,"providers":[{"billed_charge":256.71,"npi":[1932166386]}]}]}]},{"name":"Destruct b9 lesion 1-14","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"17110","description":"Destruct b9 lesion 1-14","allowed_amounts":[{"tin":{"type":"ein","value":"160743032"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":110.00,"providers":[{"billed_charge":497.00,"npi":[1235495649]}]}]}]},{"name":"Destruct b9 lesion 1-14","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"17110","description":"Destruct b9 lesion 1-14","allowed_amounts":[{"tin":{"type":"ein","value":"561881165"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":134.62,"providers":[{"billed_charge":261.53,"npi":[1316435035]}]}]}]},{"name":"Detect agnt mult dna ampli","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87801","description":"Detect agnt mult dna ampli","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":90.22,"providers":[{"billed_charge":358.44,"npi":[1063497451]}]}]}]},{"name":"Detect agnt mult dna ampli","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87801","description":"Detect agnt mult dna ampli","allowed_amounts":[{"tin":{"type":"ein","value":"582504530"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":140.00,"providers":[{"billed_charge":140.00,"npi":[1972127017]}]}]}]},{"name":"Diast bp 80-89 mm hg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"3079F","description":"Diast bp 80-89 mm hg","allowed_amounts":[{"tin":{"type":"ein","value":"133884168"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":0.00,"providers":[{"billed_charge":0.00,"npi":[1861419400]}]}]}]},{"name":"Diast bp 80-89 mm hg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"3079F","description":"Diast bp 80-89 mm hg","allowed_amounts":[{"tin":{"type":"ein","value":"202265068"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":0.00,"providers":[{"billed_charge":0.00,"npi":[1831358654]}]}]}]},{"name":"Diast bp 80-89 mm hg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"3079F","description":"Diast bp 80-89 mm hg","allowed_amounts":[{"tin":{"type":"ein","value":"571004971"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":0.01,"npi":[1013530476]}]}]}]},{"name":"Diast bp 80-89 mm hg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"3079F","description":"Diast bp 80-89 mm hg","allowed_amounts":[{"tin":{"type":"ein","value":"576000094"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":0.01,"npi":[1538110309,1679568216]}]}]}]},{"name":"Emergency Dept Visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"9928325","description":"Emergency Dept Visit","allowed_amounts":[{"tin":{"type":"ein","value":"853777599"},"service_code":[],"billing_class":"institutional","payments":[{"allowed_amount":399.87,"providers":[{"billed_charge":1765.00,"npi":[1376139139]}]}]}]},{"name":"Emergency Dept Visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"9928425","description":"Emergency Dept Visit","allowed_amounts":[{"tin":{"type":"ein","value":"351720796"},"service_code":[],"billing_class":"institutional","payments":[{"allowed_amount":3941.42,"providers":[{"billed_charge":4193.00,"npi":[1205860335]}]}]}]},{"name":"Emergency Dept Visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"9928425","description":"Emergency Dept Visit","allowed_amounts":[{"tin":{"type":"ein","value":"596014973"},"service_code":[],"billing_class":"institutional","payments":[{"allowed_amount":683.25,"providers":[{"billed_charge":2406.00,"npi":[1134102080]}]}]}]},{"name":"Emergency dept visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99284","description":"Emergency dept visit","allowed_amounts":[{"tin":{"type":"ein","value":"464837698"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":185.43,"providers":[{"billed_charge":1186.31,"npi":[1275505976]}]}]}]},{"name":"Emergency dept visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99284","description":"Emergency dept visit","allowed_amounts":[{"tin":{"type":"ein","value":"541845877"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":143.82,"providers":[{"billed_charge":837.00,"npi":[1346483567]}]}]}]},{"name":"Emergency dept visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99285","description":"Emergency dept visit","allowed_amounts":[{"tin":{"type":"ein","value":"363097297"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":378.21,"providers":[{"billed_charge":539.00,"npi":[1750372785]}]}]}]},{"name":"Emergency dept visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99285","description":"Emergency dept visit","allowed_amounts":[{"tin":{"type":"ein","value":"650726225"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":208.42,"providers":[{"billed_charge":1912.00,"npi":[1871521880]}]}]}]},{"name":"Emergency dept visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99285","description":"Emergency dept visit","allowed_amounts":[{"tin":{"type":"ein","value":"824595729"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":187.47,"providers":[{"billed_charge":3522.00,"npi":[1275995706]}]}]}]},{"name":"Emergency dept visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99285","description":"Emergency dept visit","allowed_amounts":[{"tin":{"type":"ein","value":"933393372"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":225.01,"providers":[{"billed_charge":943.00,"npi":[1497383202]}]}]}]},{"name":"Fall risk assessment docd","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"3288F","description":"Fall risk assessment docd","allowed_amounts":[{"tin":{"type":"ein","value":"571004971"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":0.01,"npi":[1013530476]}]}]}]},{"name":"Family psytx w\/patient","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90847","description":"Family psytx w\/patient","allowed_amounts":[{"tin":{"type":"ein","value":"131834590"},"service_code":["02","11"],"billing_class":"professional","payments":[{"allowed_amount":90.00,"providers":[{"billed_charge":175.00,"npi":[1851806921]}]}]}]},{"name":"Free assay (ft-3)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84481","description":"Free assay (ft-3)","allowed_amounts":[{"tin":{"type":"ein","value":"382084239"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":21.39,"providers":[{"billed_charge":271.59,"npi":[1932166386]}]}]}]},{"name":"General health panel","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80050","description":"General health panel","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":45.18,"providers":[{"billed_charge":190.05,"npi":[1063497451]},{"billed_charge":214.15,"npi":[1538144910]}]}]}]},{"name":"General health panel","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80050","description":"General health panel","allowed_amounts":[{"tin":{"type":"ein","value":"560552787"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":140.63,"providers":[{"billed_charge":343.00,"npi":[1609162098]}]}]}]},{"name":"Glycosylated hemoglobin test","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83036","description":"Glycosylated hemoglobin test","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":12.46,"providers":[{"billed_charge":69.30,"npi":[1063497451,1538144910]}]}]}]},{"name":"Glycosylated hemoglobin test","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83036","description":"Glycosylated hemoglobin test","allowed_amounts":[{"tin":{"type":"ein","value":"202265068"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":0.00,"providers":[{"billed_charge":33.00,"npi":[1326030438]}]},{"allowed_amount":6.98,"providers":[{"billed_charge":33.00,"npi":[1326030438]}]}]}]},{"name":"Glycosylated hemoglobin test","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83036","description":"Glycosylated hemoglobin test","allowed_amounts":[{"tin":{"type":"ein","value":"210635009"},"service_code":[],"billing_class":"institutional","payments":[{"allowed_amount":120.25,"providers":[{"billed_charge":321.00,"npi":[1689714255]}]}]}]},{"name":"Glycosylated hemoglobin test","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83036","description":"Glycosylated hemoglobin test","allowed_amounts":[{"tin":{"type":"ein","value":"330599494"},"service_code":[],"billing_class":"institutional","payments":[{"allowed_amount":93.78,"providers":[{"billed_charge":180.00,"npi":[1184722779]}]}]}]},{"name":"Glycosylated hemoglobin test","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83036","description":"Glycosylated hemoglobin test","allowed_amounts":[{"tin":{"type":"ein","value":"340714585"},"service_code":[],"billing_class":"institutional","payments":[{"allowed_amount":50.99,"providers":[{"billed_charge":67.00,"npi":[1679525919]}]}]}]},{"name":"Glycosylated hemoglobin test","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83036","description":"Glycosylated hemoglobin test","allowed_amounts":[{"tin":{"type":"ein","value":"382084239"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":12.26,"providers":[{"billed_charge":89.20,"npi":[1932166386]}]}]}]},{"name":"Glycosylated hemoglobin test","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83036","description":"Glycosylated hemoglobin test","allowed_amounts":[{"tin":{"type":"ein","value":"593337028"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":87.00,"providers":[{"billed_charge":145.00,"npi":[1285621631]}]}]}]},{"name":"Ground Mileage, Per Statute Mile","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0425RH","description":"Ground Mileage, Per Statute Mile","allowed_amounts":[{"tin":{"type":"ein","value":"231667465"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":13.86,"providers":[{"billed_charge":20.00,"npi":[1275523441]}]},{"allowed_amount":28.26,"providers":[{"billed_charge":40.00,"npi":[1275523441]}]},{"allowed_amount":40.00,"providers":[{"billed_charge":40.00,"npi":[1275523441]}]},{"allowed_amount":57.80,"providers":[{"billed_charge":60.00,"npi":[1275523441]}]},{"allowed_amount":320.00,"providers":[{"billed_charge":320.00,"npi":[1275523441]}]}]}]},{"name":"Ground Mileage, Per Statute Mile","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0425RH","description":"Ground Mileage, Per Statute Mile","allowed_amounts":[{"tin":{"type":"ein","value":"232180872"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":391.73,"providers":[{"billed_charge":401.40,"npi":[1053316398]}]}]}]},{"name":"Ground Mileage, Per Statute Mile","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0425SH","description":"Ground Mileage, Per Statute Mile","allowed_amounts":[{"tin":{"type":"ein","value":"231667465"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":40.00,"providers":[{"billed_charge":40.00,"npi":[1275523441]}]},{"allowed_amount":41.58,"providers":[{"billed_charge":60.00,"npi":[1275523441]}]},{"allowed_amount":244.86,"providers":[{"billed_charge":360.00,"npi":[1275523441]}]}]}]},{"name":"Hepatitis c ab test","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86803","description":"Hepatitis c ab test","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":18.34,"providers":[{"billed_charge":112.35,"npi":[1063497451,1538144910]}]}]}]},{"name":"Hepatitis c ab test","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86803","description":"Hepatitis c ab test","allowed_amounts":[{"tin":{"type":"ein","value":"330599494"},"service_code":[],"billing_class":"institutional","payments":[{"allowed_amount":104.20,"providers":[{"billed_charge":200.00,"npi":[1184722779]}]}]}]},{"name":"Hepatitis c ab test","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86803","description":"Hepatitis c ab test","allowed_amounts":[{"tin":{"type":"ein","value":"411761760"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":0.00,"providers":[{"billed_charge":42.00,"npi":[1154779007]}]}]}]},{"name":"Hepatitis c ab test","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86803","description":"Hepatitis c ab test","allowed_amounts":[{"tin":{"type":"ein","value":"561118388"},"service_code":[],"billing_class":"institutional","payments":[{"allowed_amount":15.70,"providers":[{"billed_charge":50.00,"npi":[1932208576]}]}]}]},{"name":"Hospital Outpt Clinic Visit","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G046325","description":"Hospital Outpt Clinic Visit","allowed_amounts":[{"tin":{"type":"ein","value":"421707837"},"service_code":[],"billing_class":"institutional","payments":[{"allowed_amount":155.71,"providers":[{"billed_charge":514.00,"npi":[1407897309]}]}]}]},{"name":"Hpv high-risk types","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87624","description":"Hpv high-risk types","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":47.94,"providers":[{"billed_charge":182.95,"npi":[1063497451]}]}]}]},{"name":"Hpv high-risk types","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87624","description":"Hpv high-risk types","allowed_amounts":[{"tin":{"type":"ein","value":"546001796"},"service_code":[],"billing_class":"institutional","payments":[{"allowed_amount":179.50,"providers":[{"billed_charge":323.00,"npi":[1780630608]}]}]}]},{"name":"Hydration iv infusion init","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"96360","description":"Hydration iv infusion init","allowed_amounts":[{"tin":{"type":"ein","value":"596014973"},"service_code":[],"billing_class":"institutional","payments":[{"allowed_amount":339.92,"providers":[{"billed_charge":1197.00,"npi":[1134102080]}]}]}]},{"name":"IAAD IA HIV-1 AG W\/HIV-1 & HIV-2 ANTBDY SINGLE","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87389","description":"IAAD IA HIV-1 AG W\/HIV-1 & HIV-2 ANTBDY SINGLE","allowed_amounts":[{"tin":{"type":"ein","value":"330599494"},"service_code":[],"billing_class":"institutional","payments":[{"allowed_amount":151.61,"providers":[{"billed_charge":291.00,"npi":[1184722779]}]}]}]},{"name":"IAAD IA HIV-1 AG W\/HIV-1 & HIV-2 ANTBDY SINGLE","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87389","description":"IAAD IA HIV-1 AG W\/HIV-1 & HIV-2 ANTBDY SINGLE","allowed_amounts":[{"tin":{"type":"ein","value":"411761760"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":35.21,"providers":[{"billed_charge":75.00,"npi":[1154779007]}]}]}]},{"name":"Im admin 1st\/only component","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90460","description":"Im admin 1st\/only component","allowed_amounts":[{"tin":{"type":"ein","value":"272039417"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":23.78,"providers":[{"billed_charge":26.00,"npi":[1477530558]}]}]}]},{"name":"Infec Agent Detection Be Nucleic Acid Amp. Probe Tech","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8779859","description":"Infec Agent Detection Be Nucleic Acid Amp. Probe Tech","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":0.00,"providers":[{"billed_charge":358.44,"npi":[1063497451]}]},{"allowed_amount":45.11,"providers":[{"billed_charge":179.22,"npi":[1063497451]}]}]}]},{"name":"Inj, propofol, 10 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J2704","description":"Inj, propofol, 10 mg","allowed_amounts":[{"tin":{"type":"ein","value":"370635502"},"service_code":[],"billing_class":"institutional","payments":[{"allowed_amount":3.70,"providers":[{"billed_charge":10.65,"npi":[1982796181]}]}]}]},{"name":"Inj, propofol, 10 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J2704","description":"Inj, propofol, 10 mg","allowed_amounts":[{"tin":{"type":"ein","value":"840405257"},"service_code":[],"billing_class":"institutional","payments":[{"allowed_amount":0.00,"providers":[{"billed_charge":112.50,"npi":[1801591391]}]}]}]},{"name":"Iron binding test","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83550","description":"Iron binding test","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.24,"providers":[{"billed_charge":44.62,"npi":[1063497451]}]}]}]},{"name":"Iron binding test","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83550","description":"Iron binding test","allowed_amounts":[{"tin":{"type":"ein","value":"520890739"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10.93,"providers":[{"billed_charge":58.82,"npi":[1245307818]}]}]}]},{"name":"Ketorolac tromethamine inj","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1885JZ","description":"Ketorolac tromethamine inj","allowed_amounts":[{"tin":{"type":"ein","value":"370635502"},"service_code":[],"billing_class":"institutional","payments":[{"allowed_amount":1.23,"providers":[{"billed_charge":4.85,"npi":[1982796181]}]}]}]},{"name":"Ketorolac tromethamine inj","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1885JZ","description":"Ketorolac tromethamine inj","allowed_amounts":[{"tin":{"type":"ein","value":"853777599"},"service_code":[],"billing_class":"institutional","payments":[{"allowed_amount":14.94,"providers":[{"billed_charge":65.95,"npi":[1376139139]}]}]}]},{"name":"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":16.74,"providers":[{"billed_charge":102.90,"npi":[1063497451,1538144910]},{"billed_charge":109.27,"npi":[1063497451]},{"billed_charge":97.65,"npi":[1063497451]}]}]}]},{"name":"Lipid panel","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80061","description":"Lipid panel","allowed_amounts":[{"tin":{"type":"ein","value":"160743310"},"service_code":[],"billing_class":"institutional","payments":[{"allowed_amount":12.59,"providers":[{"billed_charge":118.00,"npi":[1013985399]}]}]}]},{"name":"Lipid panel","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80061","description":"Lipid panel","allowed_amounts":[{"tin":{"type":"ein","value":"202265068"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":36.80,"providers":[{"billed_charge":46.00,"npi":[1326030438]}]}]}]},{"name":"Lipid panel","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80061","description":"Lipid panel","allowed_amounts":[{"tin":{"type":"ein","value":"210635009"},"service_code":[],"billing_class":"institutional","payments":[{"allowed_amount":75.29,"providers":[{"billed_charge":201.00,"npi":[1689714255]}]}]}]},{"name":"Lipid panel","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80061","description":"Lipid panel","allowed_amounts":[{"tin":{"type":"ein","value":"330599494"},"service_code":[],"billing_class":"institutional","payments":[{"allowed_amount":96.91,"providers":[{"billed_charge":186.00,"npi":[1184722779]}]}]}]},{"name":"Lipid panel","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80061","description":"Lipid panel","allowed_amounts":[{"tin":{"type":"ein","value":"340714585"},"service_code":[],"billing_class":"institutional","payments":[{"allowed_amount":70.01,"providers":[{"billed_charge":92.00,"npi":[1679525919]}]}]}]},{"name":"Lipid panel","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80061","description":"Lipid panel","allowed_amounts":[{"tin":{"type":"ein","value":"382084239"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":17.33,"providers":[{"billed_charge":177.90,"npi":[1932166386]}]}]}]},{"name":"Lipid panel","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80061","description":"Lipid panel","allowed_amounts":[{"tin":{"type":"ein","value":"561118388"},"service_code":[],"billing_class":"institutional","payments":[{"allowed_amount":50.25,"providers":[{"billed_charge":67.00,"npi":[1932208576]}]}]}]},{"name":"Lipid panel","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80061","description":"Lipid panel","allowed_amounts":[{"tin":{"type":"ein","value":"943461199"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.08,"providers":[{"billed_charge":20.09,"npi":[1871731729]}]}]}]},{"name":"Med serv 10pm-8am 24 hr fac","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99053","description":"Med serv 10pm-8am 24 hr fac","allowed_amounts":[{"tin":{"type":"ein","value":"464837698"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":0.00,"providers":[{"billed_charge":125.38,"npi":[1275505976]}]}]}]},{"name":"Med serv eve\/wkend\/holiday","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99051","description":"Med serv eve\/wkend\/holiday","allowed_amounts":[{"tin":{"type":"ein","value":"251781887"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":0.00,"providers":[{"billed_charge":40.00,"npi":[1346735263]}]}]}]},{"name":"Medical\/surgical supplies and devices","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0270","description":"Medical\/surgical supplies and devices","allowed_amounts":[{"tin":{"type":"ein","value":"472105584"},"service_code":[],"billing_class":"institutional","payments":[{"allowed_amount":32.52,"providers":[{"billed_charge":168.75,"npi":[1740686443]}]}]}]},{"name":"Medical\/surgical supplies and devices","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0270","description":"Medical\/surgical supplies and devices","allowed_amounts":[{"tin":{"type":"ein","value":"841343242"},"service_code":[],"billing_class":"institutional","payments":[{"allowed_amount":0.00,"providers":[{"billed_charge":148.07,"npi":[1689624686]}]}]}]},{"name":"Metabolic panel total ca","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80048","description":"Metabolic panel total ca","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10.88,"providers":[{"billed_charge":43.94,"npi":[1063497451]}]}]}]},{"name":"Metabolic panel total ca","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80048","description":"Metabolic panel total ca","allowed_amounts":[{"tin":{"type":"ein","value":"330599494"},"service_code":[],"billing_class":"institutional","payments":[{"allowed_amount":117.75,"providers":[{"billed_charge":226.00,"npi":[1184722779]}]}]}]},{"name":"Metabolic panel total ca","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80048","description":"Metabolic panel total ca","allowed_amounts":[{"tin":{"type":"ein","value":"472105584"},"service_code":[],"billing_class":"institutional","payments":[{"allowed_amount":50.49,"providers":[{"billed_charge":262.00,"npi":[1740686443]}]}]}]},{"name":"Metabolic panel total ca","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80048","description":"Metabolic panel total ca","allowed_amounts":[{"tin":{"type":"ein","value":"596014973"},"service_code":[],"billing_class":"institutional","payments":[{"allowed_amount":156.19,"providers":[{"billed_charge":550.00,"npi":[1134102080]}]}]}]},{"name":"Neuromuscular Reeducation","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"97112GP","description":"Neuromuscular Reeducation","allowed_amounts":[{"tin":{"type":"ein","value":"455513255"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":35.82,"providers":[{"billed_charge":35.82,"npi":[1992326730]}]}]}]},{"name":"Ocular instrumnt screen bil","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99177","description":"Ocular instrumnt screen bil","allowed_amounts":[{"tin":{"type":"ein","value":"042472266"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":15.00,"providers":[{"billed_charge":15.00,"npi":[1952625766]}]}]}]},{"name":"Office\/Outpatient Visit, Est","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"9921325","description":"Office\/Outpatient Visit, Est","allowed_amounts":[{"tin":{"type":"ein","value":"453191160"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":187.35,"providers":[{"billed_charge":220.00,"npi":[1275637373]}]}]}]},{"name":"Office\/Outpatient Visit, Est","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"9921325","description":"Office\/Outpatient Visit, Est","allowed_amounts":[{"tin":{"type":"ein","value":"561881165"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":87.35,"providers":[{"billed_charge":181.68,"npi":[1316435035]}]}]}]},{"name":"Office\/outpatient visit est","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99213","description":"Office\/outpatient visit est","allowed_amounts":[{"tin":{"type":"ein","value":"042103552"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":110.00,"providers":[{"billed_charge":110.00,"npi":[1962850115]}]}]}]},{"name":"Office\/outpatient visit est","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99213","description":"Office\/outpatient visit est","allowed_amounts":[{"tin":{"type":"ein","value":"042751258"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":692.56,"providers":[{"billed_charge":787.00,"npi":[1336229079]}]}]}]},{"name":"Office\/outpatient visit est","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99213","description":"Office\/outpatient visit est","allowed_amounts":[{"tin":{"type":"ein","value":"208175031"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":114.25,"providers":[{"billed_charge":200.00,"npi":[1427029180]}]}]}]},{"name":"Office\/outpatient visit est","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99213","description":"Office\/outpatient visit est","allowed_amounts":[{"tin":{"type":"ein","value":"541124769"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":182.02,"providers":[{"billed_charge":238.00,"npi":[1851925093]}]},{"allowed_amount":202.25,"providers":[{"billed_charge":238.00,"npi":[1225297898]}]}]}]},{"name":"Office\/outpatient visit est","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99213","description":"Office\/outpatient visit est","allowed_amounts":[{"tin":{"type":"ein","value":"561479712"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":187.90,"providers":[{"billed_charge":360.00,"npi":[1891955530]}]}]}]},{"name":"Office\/outpatient visit est","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99213","description":"Office\/outpatient visit est","allowed_amounts":[{"tin":{"type":"ein","value":"593337028"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":204.60,"providers":[{"billed_charge":341.00,"npi":[1003073586]}]}]}]},{"name":"Office\/outpatient visit est","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99213","description":"Office\/outpatient visit est","allowed_amounts":[{"tin":{"type":"ein","value":"840405257"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":81.91,"providers":[{"billed_charge":261.00,"npi":[1215966296]}]}]}]},{"name":"Office\/outpatient visit est","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99213","description":"Office\/outpatient visit est","allowed_amounts":[{"tin":{"type":"ein","value":"991341553"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":114.25,"providers":[{"billed_charge":200.00,"npi":[1255644365]}]}]}]},{"name":"Office\/outpatient visit est","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99213","description":"Office\/outpatient visit est","allowed_amounts":[{"tin":{"type":"ein","value":"992145793"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":0.00,"providers":[{"billed_charge":127.00,"npi":[1639631831]}]}]}]},{"name":"Office\/outpatient visit est","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99213","description":"Office\/outpatient visit est","allowed_amounts":[{"tin":{"type":"ein","value":"999999999"},"service_code":["10"],"billing_class":"professional","payments":[{"allowed_amount":150.00,"providers":[{"billed_charge":150.00,"npi":[]}]}]}]},{"name":"Office\/outpatient visit est","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"9921395","description":"Office\/outpatient visit est","allowed_amounts":[{"tin":{"type":"ein","value":"131623978"},"service_code":["02"],"billing_class":"professional","payments":[{"allowed_amount":217.26,"providers":[{"billed_charge":300.00,"npi":[1790872885]}]}]}]},{"name":"Office\/outpatient visit est","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"9921395","description":"Office\/outpatient visit est","allowed_amounts":[{"tin":{"type":"ein","value":"232919472"},"service_code":["10"],"billing_class":"professional","payments":[{"allowed_amount":143.34,"providers":[{"billed_charge":168.00,"npi":[1942881990]}]}]}]},{"name":"Office\/outpatient visit est","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99214","description":"Office\/outpatient visit est","allowed_amounts":[{"tin":{"type":"ein","value":"042500346"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":162.33,"providers":[{"billed_charge":470.00,"npi":[1285811216]}]}]}]},{"name":"Office\/outpatient visit est","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99214","description":"Office\/outpatient visit est","allowed_amounts":[{"tin":{"type":"ein","value":"042807148"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":340.01,"providers":[{"billed_charge":579.00,"npi":[1346816568]}]}]}]},{"name":"Office\/outpatient visit est","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99214","description":"Office\/outpatient visit est","allowed_amounts":[{"tin":{"type":"ein","value":"201024250"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":136.72,"providers":[{"billed_charge":385.00,"npi":[1215467055]}]}]}]},{"name":"Office\/outpatient visit est","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99214","description":"Office\/outpatient visit est","allowed_amounts":[{"tin":{"type":"ein","value":"201395801"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":114.35,"providers":[{"billed_charge":209.00,"npi":[1912000696]}]}]}]},{"name":"Office\/outpatient visit est","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99214","description":"Office\/outpatient visit est","allowed_amounts":[{"tin":{"type":"ein","value":"237064656"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":287.59,"providers":[{"billed_charge":436.00,"npi":[1609287846]}]}]}]},{"name":"Office\/outpatient visit est","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99214","description":"Office\/outpatient visit est","allowed_amounts":[{"tin":{"type":"ein","value":"251721021"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":85.54,"providers":[{"billed_charge":240.46,"npi":[1649838376]}]}]}]},{"name":"Office\/outpatient visit est","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99214","description":"Office\/outpatient visit est","allowed_amounts":[{"tin":{"type":"ein","value":"340714585"},"service_code":["19"],"billing_class":"professional","payments":[{"allowed_amount":218.96,"providers":[{"billed_charge":692.00,"npi":[1356763692]}]},{"allowed_amount":221.54,"providers":[{"billed_charge":768.00,"npi":[1114146693]}]}]}]},{"name":"Office\/outpatient visit est","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99214","description":"Office\/outpatient visit est","allowed_amounts":[{"tin":{"type":"ein","value":"453191160"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":264.22,"providers":[{"billed_charge":320.00,"npi":[1275637373]}]}]}]},{"name":"Office\/outpatient visit est","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99214","description":"Office\/outpatient visit est","allowed_amounts":[{"tin":{"type":"ein","value":"541124769"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":264.09,"providers":[{"billed_charge":335.00,"npi":[1982738548]}]}]}]},{"name":"Office\/outpatient visit est","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99214","description":"Office\/outpatient visit est","allowed_amounts":[{"tin":{"type":"ein","value":"561732213"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":233.76,"providers":[{"billed_charge":277.00,"npi":[1972602431]}]}]}]},{"name":"Office\/outpatient visit est","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99214","description":"Office\/outpatient visit est","allowed_amounts":[{"tin":{"type":"ein","value":"576000094"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":97.61,"providers":[{"billed_charge":309.00,"npi":[1538110309,1679568216]}]}]}]},{"name":"Office\/outpatient visit est","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99214","description":"Office\/outpatient visit est","allowed_amounts":[{"tin":{"type":"ein","value":"593337028"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":303.60,"providers":[{"billed_charge":506.00,"npi":[1730523093]}]}]}]},{"name":"Office\/outpatient visit est","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99214","description":"Office\/outpatient visit est","allowed_amounts":[{"tin":{"type":"ein","value":"931097258"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":378.60,"providers":[{"billed_charge":468.00,"npi":[1386128056]}]}]}]},{"name":"Office\/outpatient visit est","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99214","description":"Office\/outpatient visit est","allowed_amounts":[{"tin":{"type":"ein","value":"992145793"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":136.47,"providers":[{"billed_charge":183.00,"npi":[1811632045]}]}]}]},{"name":"Office\/outpatient visit est","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"9921495","description":"Office\/outpatient visit est","allowed_amounts":[{"tin":{"type":"ein","value":"232919472"},"service_code":["10"],"billing_class":"professional","payments":[{"allowed_amount":215.35,"providers":[{"billed_charge":252.00,"npi":[1154579720]}]}]}]},{"name":"Office\/outpatient visit est","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"9921495","description":"Office\/outpatient visit est","allowed_amounts":[{"tin":{"type":"ein","value":"472804640"},"service_code":["02"],"billing_class":"professional","payments":[{"allowed_amount":309.26,"providers":[{"billed_charge":340.00,"npi":[1871169078]}]}]}]},{"name":"Office\/outpatient visit est","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"9921495","description":"Office\/outpatient visit est","allowed_amounts":[{"tin":{"type":"ein","value":"561732213"},"service_code":["02"],"billing_class":"professional","payments":[{"allowed_amount":233.76,"providers":[{"billed_charge":277.00,"npi":[1548352321]}]}]}]},{"name":"Office\/outpatient visit est","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"9921495","description":"Office\/outpatient visit est","allowed_amounts":[{"tin":{"type":"ein","value":"991117216"},"service_code":["10"],"billing_class":"professional","payments":[{"allowed_amount":97.91,"providers":[{"billed_charge":175.00,"npi":[1912741166]}]}]}]},{"name":"Office\/outpatient visit est","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99215","description":"Office\/outpatient visit est","allowed_amounts":[{"tin":{"type":"ein","value":"520607971"},"service_code":[],"billing_class":"institutional","payments":[{"allowed_amount":566.00,"providers":[{"billed_charge":939.00,"npi":[1619075926]}]}]}]},{"name":"Pharmacy","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0250","description":"Pharmacy","allowed_amounts":[{"tin":{"type":"ein","value":"370635502"},"service_code":[],"billing_class":"institutional","payments":[{"allowed_amount":0.00,"providers":[{"billed_charge":588.30,"npi":[1982796181]}]}]}]},{"name":"Pharmacy","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0250","description":"Pharmacy","allowed_amounts":[{"tin":{"type":"ein","value":"541547408"},"service_code":[],"billing_class":"institutional","payments":[{"allowed_amount":0.31,"providers":[{"billed_charge":1.08,"npi":[1619938149]}]}]}]},{"name":"Pharmacy","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0250","description":"Pharmacy","allowed_amounts":[{"tin":{"type":"ein","value":"561118388"},"service_code":[],"billing_class":"institutional","payments":[{"allowed_amount":0.00,"providers":[{"billed_charge":1792.70,"npi":[1932208576]}]}]}]},{"name":"Pharmacy","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0250","description":"Pharmacy","allowed_amounts":[{"tin":{"type":"ein","value":"841343242"},"service_code":[],"billing_class":"institutional","payments":[{"allowed_amount":0.00,"providers":[{"billed_charge":7760.89,"npi":[1689624686]}]}]}]},{"name":"Pharmacy","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0250","description":"Pharmacy","allowed_amounts":[{"tin":{"type":"ein","value":"853777599"},"service_code":[],"billing_class":"institutional","payments":[{"allowed_amount":0.02,"providers":[{"billed_charge":0.10,"npi":[1376139139]}]}]}]},{"name":"Pharmacy - iv solutions","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0258","description":"Pharmacy - iv solutions","allowed_amounts":[{"tin":{"type":"ein","value":"472105584"},"service_code":[],"billing_class":"institutional","payments":[{"allowed_amount":2.78,"providers":[{"billed_charge":14.44,"npi":[1740686443]}]}]}]},{"name":"Pharmacy - iv solutions","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0258","description":"Pharmacy - iv solutions","allowed_amounts":[{"tin":{"type":"ein","value":"561118388"},"service_code":[],"billing_class":"institutional","payments":[{"allowed_amount":0.00,"providers":[{"billed_charge":1.20,"npi":[1932208576]}]}]}]},{"name":"Physical therapy evaluation: moderate complexity","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"97162GP","description":"Physical therapy evaluation: moderate complexity","allowed_amounts":[{"tin":{"type":"ein","value":"455513255"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":122.57,"providers":[{"billed_charge":122.57,"npi":[1992326730]}]}]}]},{"name":"Pos airway press headgear","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A7035NU","description":"Pos airway press headgear","allowed_amounts":[{"tin":{"type":"ein","value":"251721021"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":45.09,"providers":[{"billed_charge":126.92,"npi":[1649838376]}]}]}]},{"name":"Prochlorperazine injection","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0780","description":"Prochlorperazine injection","allowed_amounts":[{"tin":{"type":"ein","value":"370635502"},"service_code":[],"billing_class":"institutional","payments":[{"allowed_amount":4.70,"providers":[{"billed_charge":8.15,"npi":[1982796181]}]}]}]},{"name":"Psytx pt&\/fam w\/e&m 30 min","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90833","description":"Psytx pt&\/fam w\/e&m 30 min","allowed_amounts":[{"tin":{"type":"ein","value":"999999999"},"service_code":["10"],"billing_class":"professional","payments":[{"allowed_amount":150.00,"providers":[{"billed_charge":150.00,"npi":[]}]}]}]},{"name":"Psytx pt&\/fam w\/e&m 45 min","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90836","description":"Psytx pt&\/fam w\/e&m 45 min","allowed_amounts":[{"tin":{"type":"ein","value":"999999999"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":135.00,"providers":[{"billed_charge":135.00,"npi":[]}]}]}]},{"name":"Psytx pt&\/family 45 minutes","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90834","description":"Psytx pt&\/family 45 minutes","allowed_amounts":[{"tin":{"type":"ein","value":"999999999"},"service_code":["02","11"],"billing_class":"professional","payments":[{"allowed_amount":0.00,"providers":[{"billed_charge":135.00,"npi":[]}]},{"allowed_amount":135.00,"providers":[{"billed_charge":135.00,"npi":[]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":120.00,"providers":[{"billed_charge":120.00,"npi":[]}]},{"allowed_amount":200.00,"providers":[{"billed_charge":200.00,"npi":[]}]},{"allowed_amount":300.00,"providers":[{"billed_charge":300.00,"npi":[]}]}]}]},{"name":"Psytx pt&\/family 45 minutes","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"9083495","description":"Psytx pt&\/family 45 minutes","allowed_amounts":[{"tin":{"type":"ein","value":"264701745"},"service_code":["10"],"billing_class":"professional","payments":[{"allowed_amount":75.00,"providers":[{"billed_charge":115.00,"npi":[1528211901]}]}]}]},{"name":"Psytx pt&\/family 45 minutes","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"9083495","description":"Psytx pt&\/family 45 minutes","allowed_amounts":[{"tin":{"type":"ein","value":"992333318"},"service_code":["10"],"billing_class":"professional","payments":[{"allowed_amount":70.00,"providers":[{"billed_charge":71.00,"npi":[1942793328]}]}]}]},{"name":"Psytx pt&\/family 45 minutes","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"9083495","description":"Psytx pt&\/family 45 minutes","allowed_amounts":[{"tin":{"type":"ein","value":"999999999"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":275.00,"providers":[{"billed_charge":275.00,"npi":[]}]}]}]},{"name":"Psytx pt&\/family 60 minutes","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90837","description":"Psytx pt&\/family 60 minutes","allowed_amounts":[{"tin":{"type":"ein","value":"352397903"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":173.00,"providers":[{"billed_charge":275.00,"npi":[1962599001]},{"billed_charge":300.00,"npi":[1962599001]}]},{"allowed_amount":174.20,"providers":[{"billed_charge":275.00,"npi":[1962599001]}]}]}]},{"name":"Psytx pt&\/family 60 minutes","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90837","description":"Psytx pt&\/family 60 minutes","allowed_amounts":[{"tin":{"type":"ein","value":"999999999"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":130.00,"providers":[{"billed_charge":130.00,"npi":[]}]},{"allowed_amount":150.00,"providers":[{"billed_charge":150.00,"npi":[]}]},{"allowed_amount":153.33,"providers":[{"billed_charge":153.33,"npi":[]}]},{"allowed_amount":200.00,"providers":[{"billed_charge":200.00,"npi":[]}]}]}]},{"name":"Psytx pt&\/family 60 minutes","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"9083795","description":"Psytx pt&\/family 60 minutes","allowed_amounts":[{"tin":{"type":"ein","value":"264701745"},"service_code":["10"],"billing_class":"professional","payments":[{"allowed_amount":81.00,"providers":[{"billed_charge":115.00,"npi":[1528211901]},{"billed_charge":125.00,"npi":[1528211901]}]}]}]},{"name":"Psytx pt&\/family 60 minutes","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"9083795","description":"Psytx pt&\/family 60 minutes","allowed_amounts":[{"tin":{"type":"ein","value":"832675429"},"service_code":["02"],"billing_class":"professional","payments":[{"allowed_amount":131.94,"providers":[{"billed_charge":263.88,"npi":[1861402299]}]}]}]},{"name":"Psytx pt&\/family 60 minutes","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"9083795","description":"Psytx pt&\/family 60 minutes","allowed_amounts":[{"tin":{"type":"ein","value":"920415579"},"service_code":["02"],"billing_class":"professional","payments":[{"allowed_amount":112.00,"providers":[{"billed_charge":200.00,"npi":[1952603425]}]}]}]},{"name":"Psytx pt&\/family 60 minutes","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"9083795","description":"Psytx pt&\/family 60 minutes","allowed_amounts":[{"tin":{"type":"ein","value":"992333318"},"service_code":["10"],"billing_class":"professional","payments":[{"allowed_amount":77.00,"providers":[{"billed_charge":77.00,"npi":[1942793328]}]}]}]},{"name":"Rbc sed rate automated","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85652","description":"Rbc sed rate automated","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3.47,"providers":[{"billed_charge":37.80,"npi":[1063497451]}]}]}]},{"name":"Rbc sed rate automated","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85652","description":"Rbc sed rate automated","allowed_amounts":[{"tin":{"type":"ein","value":"330599494"},"service_code":[],"billing_class":"institutional","payments":[{"allowed_amount":29.18,"providers":[{"billed_charge":56.00,"npi":[1184722779]}]}]}]},{"name":"Rbc sed rate automated","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85652","description":"Rbc sed rate automated","allowed_amounts":[{"tin":{"type":"ein","value":"340714585"},"service_code":[],"billing_class":"institutional","payments":[{"allowed_amount":14.46,"providers":[{"billed_charge":19.00,"npi":[1679525919]}]}]}]},{"name":"Rbc sed rate automated","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85652","description":"Rbc sed rate automated","allowed_amounts":[{"tin":{"type":"ein","value":"382084239"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3.50,"providers":[{"billed_charge":44.58,"npi":[1932166386]}]}]}]},{"name":"Rheumatoid factor quant","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86431","description":"Rheumatoid factor quant","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.28,"providers":[{"billed_charge":48.30,"npi":[1063497451]}]}]}]},{"name":"Routine venipuncture","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Routine venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"131623978"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":4.30,"providers":[{"billed_charge":25.00,"npi":[1730613753]}]}]}]},{"name":"Routine venipuncture","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Routine venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2.75,"providers":[{"billed_charge":26.25,"npi":[1063497451,1538144910]},{"billed_charge":32.65,"npi":[1063497451]}]}]}]},{"name":"Routine venipuncture","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Routine venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"160743310"},"service_code":[],"billing_class":"institutional","payments":[{"allowed_amount":0.00,"providers":[{"billed_charge":31.00,"npi":[1013985399]}]}]}]},{"name":"Routine venipuncture","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Routine venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"201236503"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":0.00,"providers":[{"billed_charge":34.28,"npi":[1225110497]}]}]}]},{"name":"Routine venipuncture","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Routine venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"210635009"},"service_code":[],"billing_class":"institutional","payments":[{"allowed_amount":26.60,"providers":[{"billed_charge":71.00,"npi":[1689714255]}]}]}]},{"name":"Routine venipuncture","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Routine venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"237064656"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":4.89,"providers":[{"billed_charge":17.00,"npi":[1083636294]}]}]}]},{"name":"Routine venipuncture","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Routine venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"300413685"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":5.00,"providers":[{"billed_charge":5.00,"npi":[1457462806]}]}]}]},{"name":"Routine venipuncture","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Routine venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"340714585"},"service_code":[],"billing_class":"institutional","payments":[{"allowed_amount":0.00,"providers":[{"billed_charge":58.00,"npi":[1679525919]}]},{"allowed_amount":47.94,"providers":[{"billed_charge":63.00,"npi":[1679525919]}]}]}]},{"name":"Routine venipuncture","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Routine venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"351955872"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":0.00,"providers":[{"billed_charge":17.00,"npi":[1508033408]}]}]}]},{"name":"Routine venipuncture","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Routine venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"411761760"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":1.91,"providers":[{"billed_charge":22.00,"npi":[1154779007]}]}]}]},{"name":"Routine venipuncture","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Routine venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"421707837"},"service_code":[],"billing_class":"institutional","payments":[{"allowed_amount":10.66,"providers":[{"billed_charge":33.00,"npi":[1407897309]}]}]}]},{"name":"Routine venipuncture","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Routine venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"542144479"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":0.00,"providers":[{"billed_charge":14.00,"npi":[1902018252]}]}]}]},{"name":"Routine venipuncture","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Routine venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"561118388"},"service_code":[],"billing_class":"institutional","payments":[{"allowed_amount":0.00,"providers":[{"billed_charge":11.00,"npi":[1932208576]}]},{"allowed_amount":8.25,"providers":[{"billed_charge":11.00,"npi":[1932208576]}]}]}]},{"name":"Routine venipuncture","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Routine venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"593337028"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":25.20,"providers":[{"billed_charge":42.00,"npi":[1285617571]}]}]}]},{"name":"Routine venipuncture","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Routine venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"596014973"},"service_code":[],"billing_class":"institutional","payments":[{"allowed_amount":17.04,"providers":[{"billed_charge":60.00,"npi":[1134102080]}]}]}]},{"name":"Routine venipuncture","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Routine venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"611661781"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":6.31,"providers":[{"billed_charge":20.00,"npi":[1861067456]}]}]}]},{"name":"Routine venipuncture","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Routine venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"752923409"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":3.10,"providers":[{"billed_charge":10.00,"npi":[1366537482]}]}]}]},{"name":"Routine venipuncture","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Routine venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"992145793"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":11.19,"providers":[{"billed_charge":14.00,"npi":[1639631831]}]}]}]},{"name":"Routine venipuncture","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Routine venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"999999999"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":190.00,"providers":[{"billed_charge":190.00,"npi":[]}]}]}]},{"name":"Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (CAD) when performed","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"77067","description":"Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (CAD) when performed","allowed_amounts":[{"tin":{"type":"ein","value":"210635009"},"service_code":[],"billing_class":"institutional","payments":[{"allowed_amount":255.80,"providers":[{"billed_charge":1389.00,"npi":[1689714255]}]}]}]},{"name":"Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (CAD) when performed","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"77067","description":"Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (CAD) when performed","allowed_amounts":[{"tin":{"type":"ein","value":"275493321"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":162.02,"providers":[{"billed_charge":162.02,"npi":[1386313740]}]}]}]},{"name":"Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (CAD) when performed","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"77067","description":"Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (CAD) when performed","allowed_amounts":[{"tin":{"type":"ein","value":"330599494"},"service_code":[],"billing_class":"institutional","payments":[{"allowed_amount":344.38,"providers":[{"billed_charge":661.00,"npi":[1184722779]}]}]}]},{"name":"Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (CAD) when performed","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"77067","description":"Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (CAD) when performed","allowed_amounts":[{"tin":{"type":"ein","value":"412237441"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":687.60,"providers":[{"billed_charge":955.00,"npi":[1174054134]}]}]}]},{"name":"Self Care Managment Training","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"97535GP","description":"Self Care Managment Training","allowed_amounts":[{"tin":{"type":"ein","value":"455513255"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":15.47,"providers":[{"billed_charge":15.47,"npi":[1992326730]}]}]}]},{"name":"Subsequent hospital care","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99232","description":"Subsequent hospital care","allowed_amounts":[{"tin":{"type":"ein","value":"204595837"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":85.73,"providers":[{"billed_charge":307.00,"npi":[1285676957]}]}]}]},{"name":"Subsequent hospital care","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99232","description":"Subsequent hospital care","allowed_amounts":[{"tin":{"type":"ein","value":"363097297"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":108.14,"providers":[{"billed_charge":217.00,"npi":[1679948822]}]}]}]},{"name":"Subsequent hospital care","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99232","description":"Subsequent hospital care","allowed_amounts":[{"tin":{"type":"ein","value":"561732213"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":152.20,"providers":[{"billed_charge":231.00,"npi":[1952495947,1972602431]}]}]}]},{"name":"Subsequent hospital care","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99232","description":"Subsequent hospital care","allowed_amounts":[{"tin":{"type":"ein","value":"922177171"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":85.73,"providers":[{"billed_charge":165.00,"npi":[1447740014]}]}]}]},{"name":"Subsequent hospital care","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99233","description":"Subsequent hospital care","allowed_amounts":[{"tin":{"type":"ein","value":"204595837"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":130.01,"providers":[{"billed_charge":439.00,"npi":[1285676957]}]}]}]},{"name":"Subsequent hospital care","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99233","description":"Subsequent hospital care","allowed_amounts":[{"tin":{"type":"ein","value":"561732213"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":218.74,"providers":[{"billed_charge":347.00,"npi":[1538435300,1740845155]}]}]}]},{"name":"Subsequent hospital care","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99233","description":"Subsequent hospital care","allowed_amounts":[{"tin":{"type":"ein","value":"841343242"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":154.33,"providers":[{"billed_charge":233.00,"npi":[1508156969,1568824654,1790074706,1831488790,1982232559]}]}]}]},{"name":"Subsequent hospital care","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99233","description":"Subsequent hospital care","allowed_amounts":[{"tin":{"type":"ein","value":"922177171"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":130.01,"providers":[{"billed_charge":248.00,"npi":[1447740014]}]}]}]},{"name":"Syst bp ge 130 - 139mm hg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"3075F","description":"Syst bp ge 130 - 139mm hg","allowed_amounts":[{"tin":{"type":"ein","value":"411761760"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":0.00,"providers":[{"billed_charge":0.01,"npi":[1154779007]}]}]}]},{"name":"Syst bp ge 130 - 139mm hg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"3075F","description":"Syst bp ge 130 - 139mm hg","allowed_amounts":[{"tin":{"type":"ein","value":"576000094"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":0.01,"npi":[1538110309,1679568216]}]}]}]},{"name":"Tb test cell immun measure","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86480","description":"Tb test cell immun measure","allowed_amounts":[{"tin":{"type":"ein","value":"330599494"},"service_code":[],"billing_class":"institutional","payments":[{"allowed_amount":118.27,"providers":[{"billed_charge":227.00,"npi":[1184722779]}]}]}]},{"name":"Ther\/proph\/diag inj sc\/im","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"96372","description":"Ther\/proph\/diag inj sc\/im","allowed_amounts":[{"tin":{"type":"ein","value":"453191160"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":39.12,"providers":[{"billed_charge":60.00,"npi":[1275637373]}]}]}]},{"name":"Ther\/proph\/diag inj sc\/im","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"96372","description":"Ther\/proph\/diag inj sc\/im","allowed_amounts":[{"tin":{"type":"ein","value":"474461195"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":23.85,"providers":[{"billed_charge":80.00,"npi":[1548309982]}]}]}]},{"name":"Ther\/proph\/diag inj sc\/im","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"96372","description":"Ther\/proph\/diag inj sc\/im","allowed_amounts":[{"tin":{"type":"ein","value":"853777599"},"service_code":[],"billing_class":"institutional","payments":[{"allowed_amount":25.37,"providers":[{"billed_charge":112.00,"npi":[1376139139]}]}]}]},{"name":"Ther\/proph\/diag inj sc\/im","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"96372","description":"Ther\/proph\/diag inj sc\/im","allowed_amounts":[{"tin":{"type":"ein","value":"934895258"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":0.00,"providers":[{"billed_charge":90.00,"npi":[1447437942]}]}]}]},{"name":"Therapeutic Activities","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"97530GP","description":"Therapeutic Activities","allowed_amounts":[{"tin":{"type":"ein","value":"455513255"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":37.90,"providers":[{"billed_charge":37.90,"npi":[1992326730]}]},{"allowed_amount":107.10,"providers":[{"billed_charge":107.10,"npi":[1992326730]}]}]}]},{"name":"Therapeutic Exercises","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"97110GP","description":"Therapeutic Exercises","allowed_amounts":[{"tin":{"type":"ein","value":"455513255"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":10.63,"providers":[{"billed_charge":10.63,"npi":[1992326730]}]}]}]},{"name":"Tobacco non-user","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"1036F","description":"Tobacco non-user","allowed_amounts":[{"tin":{"type":"ein","value":"202265068"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":0.00,"providers":[{"billed_charge":0.00,"npi":[1831358654]}]}]}]},{"name":"Tobacco non-user","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"1036F","description":"Tobacco non-user","allowed_amounts":[{"tin":{"type":"ein","value":"576000094"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":0.01,"npi":[1679568216]}]}]}]},{"name":"Transvaginal us non-ob","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"76830","description":"Transvaginal us non-ob","allowed_amounts":[{"tin":{"type":"ein","value":"330599494"},"service_code":[],"billing_class":"institutional","payments":[{"allowed_amount":917.48,"providers":[{"billed_charge":1761.00,"npi":[1184722779]}]}]}]},{"name":"Urgent care center global","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S9083","description":"Urgent care center global","allowed_amounts":[{"tin":{"type":"ein","value":"844670595"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":186.00,"providers":[{"billed_charge":252.54,"npi":[1336852664]}]}]}]},{"name":"Urgent care center global","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S9083","description":"Urgent care center global","allowed_amounts":[{"tin":{"type":"ein","value":"883046892"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":256.98,"providers":[{"billed_charge":310.00,"npi":[1508592114]}]}]}]},{"name":"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":"472105584"},"service_code":[],"billing_class":"institutional","payments":[{"allowed_amount":10.13,"providers":[{"billed_charge":52.55,"npi":[1740686443]}]}]}]},{"name":"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":"596014973"},"service_code":[],"billing_class":"institutional","payments":[{"allowed_amount":54.24,"providers":[{"billed_charge":191.00,"npi":[1134102080]}]}]}]},{"name":"Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and\/o","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G2211","description":"Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and\/o","allowed_amounts":[{"tin":{"type":"ein","value":"201395801"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":0.00,"providers":[{"billed_charge":31.00,"npi":[1912000696]}]}]}]},{"name":"Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and\/o","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G2211","description":"Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and\/o","allowed_amounts":[{"tin":{"type":"ein","value":"421707837"},"service_code":["19"],"billing_class":"professional","payments":[{"allowed_amount":35.46,"providers":[{"billed_charge":46.00,"npi":[1780342915]}]}]}]},{"name":"Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and\/o","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G2211","description":"Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and\/o","allowed_amounts":[{"tin":{"type":"ein","value":"541124769"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":0.00,"providers":[{"billed_charge":40.00,"npi":[1851925093]}]}]}]},{"name":"Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and\/o","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G2211","description":"Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and\/o","allowed_amounts":[{"tin":{"type":"ein","value":"593337028"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":52.20,"providers":[{"billed_charge":87.00,"npi":[1003073586,1730523093]}]}]}]},{"name":"Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and\/o","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G221195","description":"Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and\/o","allowed_amounts":[{"tin":{"type":"ein","value":"232919472"},"service_code":["10"],"billing_class":"professional","payments":[{"allowed_amount":0.00,"providers":[{"billed_charge":44.00,"npi":[1154579720]}]}]}]},{"name":"Vitamin b-12","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82607","description":"Vitamin b-12","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":19.37,"providers":[{"billed_charge":106.84,"npi":[1063497451]}]}]}]},{"name":"Vitamin b-12","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82607","description":"Vitamin b-12","allowed_amounts":[{"tin":{"type":"ein","value":"210635009"},"service_code":[],"billing_class":"institutional","payments":[{"allowed_amount":185.80,"providers":[{"billed_charge":496.00,"npi":[1689714255]}]}]}]},{"name":"Vitamin b-12","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82607","description":"Vitamin b-12","allowed_amounts":[{"tin":{"type":"ein","value":"330599494"},"service_code":[],"billing_class":"institutional","payments":[{"allowed_amount":82.32,"providers":[{"billed_charge":158.00,"npi":[1184722779]}]}]}]},{"name":"Vitamin b-12","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82607","description":"Vitamin b-12","allowed_amounts":[{"tin":{"type":"ein","value":"382084239"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":19.04,"providers":[{"billed_charge":144.58,"npi":[1932166386]}]}]}]},{"name":"Vitamin b-12","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82607","description":"Vitamin b-12","allowed_amounts":[{"tin":{"type":"ein","value":"520890739"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":18.85,"providers":[{"billed_charge":137.70,"npi":[1245307818]}]}]}]},{"name":"Vitamin d 25 hydroxy","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82306","description":"Vitamin d 25 hydroxy","allowed_amounts":[{"tin":{"type":"ein","value":"330599494"},"service_code":[],"billing_class":"institutional","payments":[{"allowed_amount":133.90,"providers":[{"billed_charge":257.00,"npi":[1184722779]}]}]}]},{"name":"Vitamin d 25 hydroxy","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82306","description":"Vitamin d 25 hydroxy","allowed_amounts":[{"tin":{"type":"ein","value":"340714585"},"service_code":[],"billing_class":"institutional","payments":[{"allowed_amount":155.24,"providers":[{"billed_charge":204.00,"npi":[1679525919]}]}]}]},{"name":"Vitamin d 25 hydroxy","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82306","description":"Vitamin d 25 hydroxy","allowed_amounts":[{"tin":{"type":"ein","value":"382084239"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":37.37,"providers":[{"billed_charge":366.37,"npi":[1932166386]}]}]}]}]}