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"billing_class": "professional", "payments": [ { "allowed_amount": 6.54, "providers": [ { "billed_charge": 42.0, "npi": [ 1841351566 ] } ] } ] }, { "tin": { "type": "ein", "value": "394147500" }, "service_code": [ "81" ], "billing_class": "professional", "payments": [ { "allowed_amount": 6.54, "providers": [ { "billed_charge": 19.0, "npi": [ 1871781476 ] } ] } ] }, { "tin": { "type": "ein", "value": "352539778" }, "service_code": [ "81" ], "billing_class": "professional", "payments": [ { "allowed_amount": 6.54, "providers": [ { "billed_charge": 11.67, "npi": [ 1972971265 ] } ] } ] } ] }, { "name": "Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin, total (82247) Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Phosphatase, alkaline (84075) Pot", "billing_code_type": "CPT", "billing_code": "80053", "billing_code_type_version": "2020", "description": "Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin, total (82247) Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Phosphatase, alkaline (84075) Pot", "allowed_amounts": [ { "tin": { "type": "ein", "value": "112981841" }, "service_code": [ "81" ], "billing_class": "professional", "payments": [ { "allowed_amount": 7.39, "providers": [ { "billed_charge": 85.0, "npi": [ 1033281126 ] } ] } ] }, { "tin": { "type": "ein", "value": "233079507" }, "service_code": [ "81" ], "billing_class": "professional", "payments": [ { "allowed_amount": 7.39, "providers": [ { "billed_charge": 10.56, "npi": [ 1043271539 ] } ] } ] }, { "tin": { "type": "ein", "value": "872582895" }, "service_code": [ "81" ], "billing_class": "professional", "payments": [ { "allowed_amount": 7.39, "providers": [ { "billed_charge": 21.5, "npi": [ 1043982002 ] } ] } ] }, { "tin": { "type": "ein", "value": "823971792" }, "service_code": [ "81" ], "billing_class": "professional", "payments": [ { "allowed_amount": 7.39, "providers": [ { "billed_charge": 15.84, "npi": [ 1114435492 ] } ] } ] }, { "tin": { "type": "ein", "value": "471359076" }, "service_code": [ "81" ], "billing_class": "professional", "payments": [ { "allowed_amount": 7.39, "providers": [ { "billed_charge": 31.68, "npi": [ 1134538713 ] } ] } ] }, { "tin": { "type": "ein", "value": "831005259" }, "service_code": [ "81" ], "billing_class": "professional", "payments": [ { "allowed_amount": 7.39, "providers": [ { "billed_charge": 31.68, "npi": [ 1174092548 ] } ] } ] }, { "tin": { "type": "ein", "value": "133757370" }, "service_code": [ "81" ], "billing_class": "professional", "payments": [ { "allowed_amount": 7.39, "providers": [ { "billed_charge": 48.3, "npi": [ 1194712083, 1801883780, 1821565045, 1851388748 ] } ] } ] }, { "tin": { "type": "ein", "value": "742554159" }, "service_code": [ "81" ], "billing_class": "professional", "payments": [ { "allowed_amount": 7.39, "providers": [ { "billed_charge": 78.25, "npi": [ 1194769497 ] } ] } ] }, { "tin": { "type": "ein", "value": "251008110" }, "service_code": [ "81" ], "billing_class": "professional", "payments": [ { "allowed_amount": 7.39, "providers": [ { "billed_charge": 88.0, "npi": [ 1437272697 ] } ] } ] }, { "tin": { "type": "ein", "value": "812868546" }, "service_code": [ "81" ], "billing_class": "professional", "payments": [ { "allowed_amount": 7.39, "providers": [ { "billed_charge": 21.12, "npi": [ 1447601695 ] } ] } ] }, { "tin": { "type": "ein", "value": "621802294" }, "service_code": [ "81" ], "billing_class": "professional", "payments": [ { "allowed_amount": 7.39, "providers": [ { "billed_charge": 48.0, "npi": [ 1548370745 ] } ] } ] }, { "tin": { "type": "ein", "value": "821785874" }, "service_code": [ "81" ], "billing_class": "professional", "payments": [ { "allowed_amount": 7.39, "providers": [ { "billed_charge": 31.68, "npi": [ 1598383176 ] } ] } ] }, { "tin": { "type": "ein", "value": "840611484" }, "service_code": [ "81" ], "billing_class": "professional", "payments": [ { "allowed_amount": 7.39, "providers": [ { "billed_charge": 40.4, "npi": [ 1639264575 ] }, { "billed_charge": 48.3, "npi": [ 1639264575, 1699858373 ] } ] } ] }, { "tin": { "type": "ein", "value": "464019207" }, "service_code": [ "81" ], "billing_class": "professional", "payments": [ { "allowed_amount": 7.39, "providers": [ { "billed_charge": 11.62, "npi": [ 1720409154 ] } ] } ] }, { "tin": { "type": "ein", "value": "471797576" }, "service_code": [ "81" ], "billing_class": "professional", "payments": [ { "allowed_amount": 7.39, "providers": [ { "billed_charge": 40.0, "npi": [ 1730582594 ] } ] } ] }, { "tin": { "type": "ein", "value": "271773152" }, "service_code": [ "81" ], "billing_class": "professional", "payments": [ { "allowed_amount": 7.39, "providers": [ { "billed_charge": 125.0, "npi": [ 1790016921 ] } ] } ] }, { "tin": { "type": "ein", "value": "862874977" }, "service_code": [ "81" ], "billing_class": "professional", "payments": [ { "allowed_amount": 7.39, "providers": [ { "billed_charge": 32.0, "npi": [ 1831851039 ] } ] } ] }, { "tin": { "type": "ein", "value": "853121369" }, "service_code": [ "81" ], "billing_class": "professional", "payments": [ { "allowed_amount": 7.39, "providers": [ { "billed_charge": 73.92, "npi": [ 1891301073 ] } ] } ] }, { "tin": { "type": "ein", "value": "921600577" }, "service_code": [ "81" ], "billing_class": "professional", "payments": [ { "allowed_amount": 7.39, "providers": [ { "billed_charge": 21.12, "npi": [ 1912787144 ] } ] } ] }, { "tin": { "type": "ein", "value": "203174593" }, "service_code": [ "81" ], "billing_class": "professional", "payments": [ { "allowed_amount": 7.39, "providers": [ { "billed_charge": 105.79, "npi": [ 1932166386 ] } ] } ] }, { "tin": { "type": "ein", "value": "352539778" }, "service_code": [ "81" ], "billing_class": "professional", "payments": [ { "allowed_amount": 7.39, "providers": [ { "billed_charge": 13.2, "npi": [ 1972971265 ] } ] } ] }, { "tin": { "type": "ein", "value": "943357013" }, "service_code": [ "81" ], "billing_class": "professional", "payments": [ { "allowed_amount": 7.39, "providers": [ { "billed_charge": 127.0, "npi": [ 1982606992 ] } ] } ] } ] }, { "name": "Cortisol; total", "billing_code_type": "CPT", "billing_code": "82533", "billing_code_type_version": "2020", "description": "Cortisol; total", "allowed_amounts": [ { "tin": { "type": "ein", "value": "823971792" }, "service_code": [ "81" ], "billing_class": "professional", "payments": [ { "allowed_amount": 11.41, "providers": [ { "billed_charge": 24.45, "npi": [ 1114435492 ] } ] } ] }, { "tin": { "type": "ein", "value": "742554159" }, "service_code": [ "81" ], "billing_class": "professional", "payments": [ { "allowed_amount": 11.41, "providers": [ { "billed_charge": 118.0, "npi": [ 1194769497 ] } ] } ] }, { "tin": { "type": "ein", "value": "133757370" }, "service_code": [ "81" ], "billing_class": "professional", "payments": [ { "allowed_amount": 11.41, "providers": [ { "billed_charge": 102.9, "npi": [ 1306896253, 1801883780 ] } ] } ] }, { "tin": { "type": "ein", "value": "840611484" }, "service_code": [ "81" ], "billing_class": "professional", "payments": [ { "allowed_amount": 11.41, "providers": [ { "billed_charge": 102.9, "npi": [ 1639264575, 1962489237 ] }, { "billed_charge": 80.85, "npi": [ 1962489237 ] } ] }, { "allowed_amount": 45.64, "providers": [ { "billed_charge": 323.4, "npi": [ 1962489237 ] } ] } ] }, { "tin": { "type": "ein", "value": "464019207" }, "service_code": [ "81" ], "billing_class": "professional", "payments": [ { "allowed_amount": 11.41, "providers": [ { "billed_charge": 17.93, "npi": [ 1720409154 ] } ] } ] }, { "tin": { "type": "ein", "value": "814697090" }, "service_code": [ "81" ], "billing_class": "professional", "payments": [ { "allowed_amount": 11.41, "providers": [ { "billed_charge": 40.75, "npi": [ 1740715333 ] } ] } ] } ] }, { "name": "Creatinine; blood", "billing_code_type": "CPT", "billing_code": "82565", "billing_code_type_version": "2020", "description": "Creatinine; blood", "allowed_amounts": [ { "tin": { "type": "ein", "value": "593205549" }, "service_code": [ "81" ], "billing_class": "professional", "payments": [ { "allowed_amount": 3.58, "providers": [ { "billed_charge": 115.14, "npi": [ 1245720820 ] } ] } ] } ] }, { "name": "Creatinine; other source", "billing_code_type": "CPT", "billing_code": "82570", "billing_code_type_version": "2020", "description": "Creatinine; other source", "allowed_amounts": [ { "tin": { "type": "ein", "value": "233079507" }, "service_code": [ "81" ], "billing_class": "professional", "payments": [ { "allowed_amount": 3.63, "providers": [ { "billed_charge": 5.18, "npi": [ 1043271539 ] } ] } ] }, { "tin": { "type": "ein", "value": "561565047" }, "service_code": [ "81" ], "billing_class": "professional", "payments": [ { "allowed_amount": 3.63, "providers": [ { "billed_charge": 14.79, "npi": [ 1073591822 ] } ] } ] }, { "tin": { "type": "ein", "value": "840611484" }, "service_code": [ "81" ], "billing_class": "professional", "payments": [ { "allowed_amount": 3.63, "providers": [ { "billed_charge": 29.86, "npi": [ 1083698534 ] }, { "billed_charge": 30.08, "npi": [ 1083698534 ] }, { "billed_charge": 30.14, "npi": [ 1083698534 ] }, { "billed_charge": 50.4, "npi": [ 1639264575 ] }, { "billed_charge": 54.69, "npi": [ 1639264575 ] }, { "billed_charge": 64.07, "npi": [ 1639264575 ] } ] } ] }, { "tin": { "type": "ein", "value": "273012584" }, "service_code": [ "81" ], "billing_class": "professional", "payments": [ { "allowed_amount": 3.63, "providers": [ { "billed_charge": 6.0, "npi": [ 1104255215 ] } ] } ] }, { "tin": { "type": "ein", "value": "471359076" }, "service_code": [ "81" ], "billing_class": "professional", "payments": [ { "allowed_amount": 3.63, "providers": [ { "billed_charge": 15.54, "npi": [ 1134538713 ] } ] } ] }, { "tin": { "type": "ein", "value": "831005259" }, "service_code": [ "81" ], "billing_class": "professional", "payments": [ { "allowed_amount": 3.63, "providers": [ { "billed_charge": 15.54, "npi": [ 1174092548 ] } ] } ] }, { "tin": { "type": "ein", "value": "742554159" }, "service_code": [ "81" ], "billing_class": "professional", "payments": [ { "allowed_amount": 3.63, "providers": [ { "billed_charge": 79.05, "npi": [ 1194769497 ] } ] } ] }, { "tin": { "type": "ein", "value": "593205549" }, "service_code": [ "81" ], "billing_class": "professional", "payments": [ { "allowed_amount": 3.63, "providers": [ { "billed_charge": 116.25, "npi": [ 1245720820 ] } ] } ] }, { "tin": { "type": "ein", "value": "133757370" }, "service_code": [ "81" ], "billing_class": "professional", "payments": [ { "allowed_amount": 3.63, "providers": [ { "billed_charge": 54.69, "npi": [ 1376323998 ] }, { "billed_charge": 64.07, "npi": [ 1376323998 ] }, { "billed_charge": 33.7, "npi": [ 1821565045 ] } ] }, { "allowed_amount": 7.25, "providers": [ { "billed_charge": 118.76, "npi": [ 1376323998 ] } ] } ] }, { "tin": { "type": "ein", "value": "251008110" }, "service_code": [ "81" ], "billing_class": "professional", "payments": [ { "allowed_amount": 3.63, "providers": [ { "billed_charge": 37.0, "npi": [ 1437272697 ] } ] } ] }, { "tin": { "type": "ein", "value": "621802294" }, "service_code": [ "81" ], "billing_class": "professional", "payments": [ { "allowed_amount": 3.63, "providers": [ { "billed_charge": 37.81, "npi": [ 1548370745 ] } ] } ] }, { "tin": { "type": "ein", "value": "814697090" }, "service_code": [ "81" ], "billing_class": "professional", "payments": [ { "allowed_amount": 3.63, "providers": [ { "billed_charge": 12.95, "npi": [ 1740715333 ] } ] } ] }, { "tin": { "type": "ein", "value": "862874977" }, "service_code": [ "81" ], "billing_class": "professional", "payments": [ { "allowed_amount": 3.63, "providers": [ { "billed_charge": 16.0, "npi": [ 1831851039 ] } ] } ] } ] }, { "name": "CRITICAL CARE ILL/INJURED PATIENT ADDL 30 MIN", "billing_code_type": "CPT", "billing_code": "99292", "billing_code_type_version": "2020", "description": "CRITICAL CARE ILL/INJURED PATIENT ADDL 30 MIN", "allowed_amounts": [ { "tin": { "type": "ein", "value": "352504339" }, "service_code": [ "23" ], "billing_class": "institutional", "payments": [ { "allowed_amount": 218.47, "providers": [ { "billed_charge": 507.0, "npi": [ 1043700081, 1184253312, 1326497447 ] } ] } ] }, { "tin": { "type": "ein", "value": "752850785" }, "service_code": [ "23" ], "billing_class": "institutional", "payments": [ { "allowed_amount": 218.47, "providers": [ { "billed_charge": 954.0, "npi": [ 1063478139 ] } ] } ] }, { "tin": { "type": "ein", "value": "455205723" }, "service_code": [ "23" ], "billing_class": "institutional", "payments": [ { "allowed_amount": 218.47, "providers": [ { "billed_charge": 1504.0, "npi": [ 1063708006 ] } ] } ] }, { "tin": { "type": "ein", "value": "205411209" }, "service_code": [ "23" ], "billing_class": "institutional", "payments": [ { "allowed_amount": 436.94, "providers": [ { "billed_charge": 856.0, "npi": [ 1124420856 ] } ] } ] }, { "tin": { "type": "ein", "value": "621130266" }, "service_code": [ "23" ], "billing_class": "institutional", "payments": [ { "allowed_amount": 218.47, "providers": [ { "billed_charge": 799.0, "npi": [ 1427404409 ] } ] }, { "allowed_amount": 655.41, "providers": [ { "billed_charge": 2397.0, "npi": [ 1427404409 ] } ] }, { "allowed_amount": 436.94, "providers": [ { "billed_charge": 2060.0, "npi": [ 1548203250, 1912163825 ] } ] } ] }, { "tin": { "type": "ein", "value": "582175978" }, "service_code": [ "23" ], "billing_class": "institutional", "payments": [ { "allowed_amount": 218.47, "providers": [ { "billed_charge": 628.0, "npi": [ 1457881260 ] } ] } ] }, { "tin": { "type": "ein", "value": "465664656" }, "service_code": [ "23" ], "billing_class": "institutional", "payments": [ { "allowed_amount": 218.47, "providers": [ { "billed_charge": 428.0, "npi": [ 1568412146 ] } ] } ] }, { "tin": { "type": "ein", "value": "843393326" }, "service_code": [ "23" ], "billing_class": "institutional", "payments": [ { "allowed_amount": 218.47, "providers": [ { "billed_charge": 1140.0, "npi": [ 1578732335, 1750479408 ] } ] } ] }, { "tin": { "type": "ein", "value": "471988466" }, "service_code": [ "23" ], "billing_class": "institutional", "payments": [ { "allowed_amount": 218.47, "providers": [ { "billed_charge": 903.0, "npi": [ 1578925533 ] } ] } ] }, { "tin": { "type": "ein", "value": "262037695" }, "service_code": [ "23" ], "billing_class": "institutional", "payments": [ { "allowed_amount": 218.47, "providers": [ { "billed_charge": 352.0, "npi": [ 1699361105 ] } ] } ] }, { "tin": { "type": "ein", "value": "581920755" }, "service_code": [ "23" ], "billing_class": "institutional", "payments": [ { "allowed_amount": 218.47, "providers": [ { "billed_charge": 873.0, "npi": [ 1831417278 ] } ] } ] }, { "tin": { "type": "ein", "value": "475339746" }, "service_code": [ "23" ], "billing_class": "institutional", "payments": [ { "allowed_amount": 1092.35, "providers": [ { "billed_charge": 1950.0, "npi": [ 1841170669 ] } ] } ] }, { "tin": { "type": "ein", "value": "464319695" }, "service_code": [ "23" ], "billing_class": "institutional", "payments": [ { "allowed_amount": 218.47, "providers": [ { "billed_charge": 1140.0, "npi": [ 1881641439 ] } ] } ] } ] }, { "name": "CRITICAL CARE ILL/INJURED PATIENT INIT 30-74 MIN", "billing_code_type": "CPT", "billing_code": "99291", "billing_code_type_version": "2020", "description": "CRITICAL CARE ILL/INJURED PATIENT INIT 30-74 MIN", "allowed_amounts": [ { "tin": { "type": "ein", "value": "581943417" }, "service_code": [ "23" ], "billing_class": "institutional", "payments": [ { "allowed_amount": 458.48, "providers": [ { "billed_charge": 1678.0, "npi": [ 1003357864, 1154731388, 1306370853, 1528322112, 1588197339, 1841425824 ] } ] } ] }, { "tin": { "type": "ein", "value": "824361822" }, "service_code": [ "23" ], "billing_class": "institutional", "payments": [ 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